| NPI | 1831494053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE BARNES Pediatric Dentist 312-455-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019019516) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |