| NPI | 1497095293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J FAITH Owner 630-837-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024522) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |