| NPI | 1407051766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY CHEUNG President 630-375-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019026808) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| 122300000X Dentist (Licence: IL 019019174) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-04-20 |