NPI | 1689065799 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAILEE S PATEL Owner 312-217-4490 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-027415) |
Enumeration Date | 2015-02-10 |
Last Update Date | 2015-02-10 |