| NPI | 1669537353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE R. SCHMID President 815-235-7241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019016327) |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2020-08-22 |