| NPI | 1558667097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICJA JONIK President 773-625-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019015515) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |