| NPI | 1982790333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH KOWALIK President 708-599-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19A14602) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |