| NPI | 1811134083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEL P KRAWCZYK Dentist 708-386-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018089) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019026752) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |