NPI | 1114537123 |
---|---|
Doing Business As | ILLINOIS EYE CENTER |
Entity Type | Organization |
Authorized Contact | JOHN P RHODE Physician Managing Partner 309-243-2400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2020-08-04 |
Last Update Date | 2020-08-04 |