| NPI | 1841582442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS MOUW Office Manager 630-484-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019.028442) |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2011-05-15 |