| NPI | 1528485000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURORA L CICEOVAN President 847-358-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024038) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |