NPI | 1336210210 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER L SPLITT KRULL Owner President 630-257-8669 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL BS2716162) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2020-08-22 |