| NPI | 1649439787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G KYIN Director 773-478-4287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019709) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |