| NPI | 1982728861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANULLAH KHALIL Officer 773-281-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019015667) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |