| NPI | 1508269358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WILLIAM BRZOSTOWSKI President 630-852-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019021165) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 019025308) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |