| NPI | 1407290521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILPA R PATEL Dentist 224-678-9279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027162) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-08-05 |