| NPI | 1588033013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KATSIS President / Orthodontist 630-894-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019028559) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |