NPI | 1760850291 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN KLOBERDANZ President 630-377-7077 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: IL 021001535) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2015-09-15 |