| NPI | 1669578308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN MARY BARNES President 630-892-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021001072) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |