| NPI | 1417034935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F ROBERT WILKIN President/Owner 773-769-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 01917750) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-12-27 |