| NPI | 1447767546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMZA MOHAMMED Administrator 630-437-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 1710977939) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 1184826174) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2022-05-23 |