NPI | 1750441192 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS F. BROWN President 630-369-3120 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19019147) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2020-08-22 |