| NPI | 1316013261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GREGORY HEFFERNAN President 630-208-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021001703) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |