| NPI | 1619251014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM JOSEPH MILLER Dentist 630-980-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019146) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2013-06-25 |