| NPI | 1811144199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANNE CHANG President 630-963-4306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019015533) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019023535) |
| 122300000X Dentist (Licence: IL 019027112) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |