| NPI | 1083819718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA COX Administrative Assistant 309-829-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist Ophthalmic (Licence: IL 042000963) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2008-07-25 |