| NPI | 1760501860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R. PICCHETTI President 630-627-7651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017509) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |