| NPI | 1831469451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE W KOLAR President 773-594-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.018406) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |