| NPI | 1790972677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA ZDZISLAWA KOLANOWSKA President 847-223-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-025799) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |