| NPI | 1225357205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA PATEL Optometrist 224-355-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009351) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046008941) |
| Enumeration Date | 2010-05-29 |
| Last Update Date | 2012-08-02 |