| NPI | 1922376011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMEET BAGAI President 847-392-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019025044) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |