| NPI | 1033345798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE LYNN COLLETT Doctor Of Optometry 708-946-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046008862) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |