| NPI | 1750105748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED K ALMANDALAWI Owner 630-355-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |