| NPI | 1265476725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY ROSANOVA President 847-882-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036067273) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-06-16 |