| NPI | 1447270236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND JOSEPH MATEJCAK President 847-742-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060-001968) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |