| NPI | 1922397884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F MCGOWAN Owner 773-779-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL bm3174098) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |