| NPI | 1588745426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH VICTOR PINESCHI President Owner 815-968-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019016143) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-06-16 |