| NPI | 1639342454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H CHEN President 847-328-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025562) |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2008-04-18 |