| NPI | 1457503245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS HUTABARAT President 630-572-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060-005394) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2008-10-13 |