| NPI | 1417284431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVESTER WALTER FURMANEK President 847-398-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19A12478) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |