| NPI | 1326258484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN P REMPAS President 773-528-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019015631) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 021001607) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-04-07 |