| NPI | 1760712855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHAIL S SHAFI Manager 630-842-3705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024809) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2020-12-10 |