| NPI | 1730547936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JABAL R PATEL Owner 847-354-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.026938) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |