| NPI | 1770968125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WILLIAM ZIEGLER Executive Director 630-935-4507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019019096) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |