| NPI | 1477968576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PLANER VENEGONI Owner/ Dentist 630-369-6836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019025348) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-09-27 |