| NPI | 1801035092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON C KALANT Owner/ President 630-851-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021.001314) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019026465) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2011-06-14 |