| NPI | 1548559024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAJA MOHSINUDDIN Dentist 630-585-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025208) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |