| NPI | 1881795888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAWAD GEORGE GHANAYEM Owner General Dentist 630-620-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 018019562) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |