| NPI | 1922347566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD C DROUIN Officer 630-858-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019.027416) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |