| NPI | 1265606925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG TAEK SHIM President 630-717-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024865) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-20 |