| NPI | 1265505770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND JOSEPH MCMULLEN President 630-420-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019018463) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |