| NPI | 1083803050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MARY STACK Owner Optometrist 630-469-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046007804) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046007738) |
| 152W00000X Optometrist (Licence: IA 046007804) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2011-02-16 |