| NPI | 1790233690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LULJETA JUSUFI Dentist 773-755-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024831) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |