| NPI | 1851315378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CHARLES OLTEAN President 630-390-5725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 21002101) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |