| NPI | 1558402149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD CHRISTOPHER PUSATERI Owner President 630-369-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019015056) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019023628) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |