| NPI | 1679788319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEENAKSHI BALAKRISHNAN President 630-515-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019-026676) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-08-28 |