NPI | 1487714671 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE MARIE ROMANELLI President 630-904-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060008694) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2013-12-02 |