| NPI | 1326313511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L NELSON Doctor 630-832-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019401) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2017-02-02 |