| NPI | 1285768382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK SMITH Pres. 815-725-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-021118) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |