| NPI | 1609947498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS N KOROMPILAS President 708-301-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021001469) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |