| NPI | 1760539324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA RENEE' BROWN President Doctor 312-663-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019737) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2012-06-21 |