| NPI | 1548277684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A GARRETT BERLEY Officer 630-627-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019014519) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |