NPI | 1609397983 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN O LIPSKIS President 630-762-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019017725) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011002) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2022-07-21 |