| NPI | 1538205158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMRANA S AHMED President 847-360-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026293) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-06-10 |