| NPI | 1649346594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HITESH K PATEL Owner 630-305-7914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019205) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 122300000X Dentist (Licence: IL 019019205) | |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2022-06-08 |