NPI | 1477603025 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD GARDNER HUTCHINS Owner 630-851-0710 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060008289) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |