| NPI | 1841581436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN T JAGIELO President 630-969-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021-001523) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |