| NPI | 1003290560 |
|---|---|
| Doing Business As | DAWN WICKIZER |
| Entity Type | Organization |
| Authorized Contact | DAWN WICKIZER Owner 847-658-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009347) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |