| NPI | 1538330758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDISON A ISHAYA President 773-782-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024678) |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2008-03-15 |