| NPI | 1558507939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA CO President 630-363-4379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-022522) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |