| NPI | 1942354931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND M. FIOCCHI President 847-432-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060.000133) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-06-16 |