| NPI | 1639508641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEN Y LU President 312-371-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025366) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |