| NPI | 1518034891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA M LOUKAS President 847-696-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017229) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |