| NPI | 1932390200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL POPE President 309-688-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-017658) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |