| NPI | 1871736868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J RUBIS President 815-741-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-016447) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2013-02-04 |