| NPI | 1972839553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J RUBIS President 630-620-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019016447) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019026816) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |