| NPI | 1942653738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITRA SADRAMELI President 312-966-6307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: IL 019.030434) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |