| NPI | 1952654089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAYED HAROON B SHAH Dentist 630-376-6369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-026152) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-025704) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |