NPI | 1386815744 |
---|---|
Entity Type | Organization |
Authorized Contact | PHIL KURAL Director Doctor Credentialing 312-274-4526 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024846) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2020-03-20 |