| NPI | 1902940430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT I. WIER President 773-334-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019012821) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2020-08-22 |