| NPI | 1841521713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER T HARNOIS President 312-944-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019018263) |
| Enumeration Date | 2010-01-16 |
| Last Update Date | 2010-01-16 |