| NPI | 1578717823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEENAL GOEL Owner/President 847-439-6332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019025462) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2021-03-24 |