| NPI | 1437403367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA CASTOR Co President 312-203-5608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027039) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |