| NPI | 1316250327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEENA BARSOUM Dentist 630-464-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028084) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |