| NPI | 1124336524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SALTIJERAL Practice Administrator 630-851-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |