| NPI | 1841373842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN BICKNELL President 630-832-8320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 60008693) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-06-16 |