| NPI | 1336537588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLENA OBEID General Manager 773-679-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.028238) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |