| NPI | 1508050022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J FORNATTO President 630-833-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022640) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2012-05-03 |