| NPI | 1265609689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY D BEER Office Manager 309-454-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019614) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |