| NPI | 1497130546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEJAL GIRISH PATEL President 847-445-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-027620) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |