| NPI | 1487956959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J STREITZ Owner 815-725-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019010971) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |