| NPI | 1467619072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN FEE President 630-232-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19A14555) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |