| NPI | 1649545575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J MADDEN President 630-878-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019020648) |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2012-03-10 |