| NPI | 1700946001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POONAM B. WADHWANI President 630-935-2168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-025368) |
| Enumeration Date | 2006-12-10 |
| Last Update Date | 2011-11-10 |