| NPI | 1003340415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA M WILLIAMS President 312-622-7320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: IL 038.118717) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-13 |