| NPI | 1760727796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOS D BABOULAS President 312-263-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020453) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019020154) |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |