| NPI | 1275670440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J. WILLIAMS President 773-538-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018984) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |