| NPI | 1417239401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQ RIYAL President 630-863-8342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028601) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |