| NPI | 1457529182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC W BOHL President 630-837-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018710) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2015-08-19 |