| NPI | 1457378218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW T BRONNY President 630-963-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019016005) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |