| NPI | 1841687753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL M KHALID General Dentist 773-465-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018963) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |