| NPI | 1881804573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI NEMATOLLAHI President 847-998-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-022805) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-06-13 |