| NPI | 1891069183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RAEL SIRIN President 847-742-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 060-010331) |
| Enumeration Date | 2012-03-04 |
| Last Update Date | 2015-11-12 |