| NPI | 1952513889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WAZIO Doctor 630-879-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021001849) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2024-05-10 |