| NPI | 1427179258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R GIBBS Dentist 630-858-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 1917714) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-09-02 |