| NPI | 1003137829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMUALD KUZA President 773-777-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 046009902) |
| Additional Taxonomies | 261Q00000X (Licence: IL 046009902) |
| 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: IL 046009902) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-07-28 |