| NPI | 1427047349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR LAU President 847-673-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 019025154) |
| 1223G0001X Dentist General Practice (Licence: IL 019010896) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2019-10-02 |