| NPI | 1366985210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PAUL ZULAWINSKI Dentist 847-392-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025344) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2019-09-25 |