| NPI | 1356578140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZUZANA VITKOVA Fanacial Officer 630-571-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-020580) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-013583) |
| 1223G0001X Dentist, General Practice (Licence: IL 019-027311) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |