| NPI | 1669721502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHYANVI G PATEL Dentist 630-550-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.026893) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |