NPI | 1164464509 |
---|---|
Doing Business As | DRS JESSEN WESLEY AND ASSOC |
Entity Type | Organization |
Authorized Contact | PATRICIA E O'HAGAN Office Manager 708-848-3900 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-006913) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2007-11-06 |