| NPI | 1811015563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK G. HUTTON Director 815-485-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-020285) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-06-26 |