NPI | 1487726527 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN L SCHULER President 309-692-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019018825) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019016857) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2020-08-22 |