| NPI | 1871850222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIMA YUSAF Practice Owner 815-227-5481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.027844) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |