| NPI | 1659524239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS MADRIGAL President 773-525-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 319011740019022762) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2009-08-24 |