| NPI | 1477602357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME A JAROSZ President 847-632-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 060-000602) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |