NPI | 1821409301 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER ROBERT SZYDELKO President 630-272-9592 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019027028) |
Enumeration Date | 2014-05-18 |
Last Update Date | 2014-05-18 |