| NPI | 1467877050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J DZAKOVICH President 847-255-4889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IL 019016695) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |