| NPI | 1598040131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILOSLAVA M. MILLER President 630-305-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019027952) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |