| NPI | 1063784452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A KNEPPER Treasurer 312-337-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036043045) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036045972) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-04-13 |