| NPI | 1891189189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN WEGNER BARTO President 630-963-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 19026697) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2016-05-25 |