| NPI | 1598839946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WROBEL Vice President 815-434-6447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 060002200) |
| Enumeration Date | 2006-11-19 |
| Last Update Date | 2020-08-22 |