| NPI | 1952370447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN R NUGENT Partner 630-968-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018770) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019018088) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2008-02-28 |