| NPI | 1043397268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE M MISIEWICZ Owner 630-323-1615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: IL 2389-5853) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |