| NPI | 1578953386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCJAN BARTUSIAK President 847-553-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019026712) |
| Enumeration Date | 2015-02-01 |
| Last Update Date | 2015-02-01 |