| NPI | 1043507536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY-ANN MARGARET MATHIAS President 773-988-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036119270) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-07-05 |