| NPI | 1609218114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVASA R SIRIGIRI Chairman 630-788-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM NDO-0010) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |