| NPI | 1861772535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMAARA MORRIS CEO 312-890-9226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027070) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |