| NPI | 1942516067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKSANA GUTERZON Owner 773-973-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026015) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |