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 |