| NPI | 1548568181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILADA B WILLIAMS Owner 630-739-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IL 019018715) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |