| NPI | 1518017045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS PECK Owner 815-436-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19020930) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2011-11-09 |