| NPI | 1508937285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE J. TREFIL Pres 708-349-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060.004283) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |