| NPI | 1659586170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRANAV V PATEL Doctor 630-961-3810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019024682) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |