| NPI | 1558659169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJUM ZAHEER KHAN President 773-816-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026952) |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2011-07-17 |