| NPI | 1568534865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FRANCIS PLOSKONKA President 773-846-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060006449) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2014-04-21 |