| NPI | 1659429140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET RADZISZEWSKI President 773-586-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-025830) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |