| NPI | 1316221351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JAMES President 773-778-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022143) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2024-03-25 |