| NPI | 1508384355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN M ACIERNO CFO 630-339-3172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019012964) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019015977) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |