| NPI | 1922153659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA D VILLAMIL President 847-310-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023613) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-09-17 |