| NPI | 1649455692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J SLOMSKI Officer 630-916-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019019272) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |