| NPI | 1346413010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W. JANES President 217-228-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023940) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |