| NPI | 1912978636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY F. STROBEL President 312-726-3135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-015250) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |