| NPI | 1508094145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPAK S. SHAH President 630-852-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019015412) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |