NPI | 1104948967 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER THEODORE KARDASIS President 708-799-3720 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036096219) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036048308) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-22 |