| NPI | 1245531904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA ILKIW Owner 773-631-6082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036042994) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036061714) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |