| NPI | 1356786743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV PURI Dentist 630-616-1020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19026692) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |