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 Clinic/Center (Licence: IL 046009902) |
261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: IL 046009902) | |
Enumeration Date | 2010-06-15 |
Last Update Date | 2010-07-28 |