| NPI | 1801052840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY I GAULE President 773-281-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017454) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2014-11-25 |