| NPI | 1366595126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE HAYES President 312-266-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 060007283) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |