| NPI | 1639625437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP PALELLA Owner 773-489-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026403) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |