| NPI | 1104156009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D WILMOTH President And CEO 630-663-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009127) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2013-01-02 |