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 |