| NPI | 1588790547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAWAD G. GHANAYEM Dentist 630-620-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-018562) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-06-19 |