| NPI | 1487872784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE J. TRAKAKIS Owner 815-725-4269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022385) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-05-06 |