| NPI | 1356515175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED/ SAMAAN SALAMAH/ SAMY Dentist 630-499-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 019026586) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |