| NPI | 1639446677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L WHEELER Owner/Manager 630-877-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019529) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |