| NPI | 1790807246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DECLAN PETER MCCARTHY President 630-469-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-025155) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |