| NPI | 1831568104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAD NOURAHMADI Presidenta 312-217-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019028115) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |