| NPI | 1295983799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY B MINOR Owner 630-665-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018112) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |