| NPI | 1881011211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA WEINFIELD President 708-422-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 060.007369) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |