| NPI | 1629148176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD NEWMAN President 630-532-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-018074) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-06-24 |