| NPI | 1386713469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER FORD CHOYKE Owner 630-833-5007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 060008311) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |