| NPI | 1780092437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE FISHER President 630-243-6200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IL 019023892) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |