| NPI | 1760633564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA J HEALY Receptionist 773-772-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019023892) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |