| NPI | 1710029764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JOSEPH DANIELS President 630-655-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019016200) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |