| NPI | 1033417845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD V. MADUZIA Optometrist/President 630-323-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-007789) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IL 046.007789) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |