| 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 |