| NPI | 1952460925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN TERENCE KRAKORA President 847-358-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019013626) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |