| NPI | 1760725436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YE WANG The President 847-221-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025656) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |