| NPI | 1821148271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ANTONIO GRIECO Owner 773-445-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-019153) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-05-21 |