| NPI | 1982754123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMINI BLAU Pediatric Dentist 630-213-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019025739) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |