| NPI | 1609280080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY C. RULE President 847-662-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019-020985) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |