| NPI | 1356569222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J. MICHELS President 630-896-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 060002596) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |