| NPI | 1295952422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A. KRUEGER Orthodontist 217-245-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 1913744) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |