| NPI | 1700920683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA T EMERY Doctor Owner 773-883-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026328) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-07-03 |