| NPI | 1033215447 |
|---|---|
| Former Legal Business Name | DEICKE CENTER FOR VISUAL REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | R TRACY WILLIAMS Executive Director 630-690-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2015-01-23 |