| NPI | 1881703403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY FERRARI President 847-884-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019018567) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |