| NPI | 1700189198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDI D EDWARDS Practice Administrator 630-424-9404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 019-026513) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |