| NPI | 1871045302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES NEAL Owner 708-424-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IL 019.029346) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |