| NPI | 1265647788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS A. CHIARAMONTI Director Of Professional Services 630-546-8319 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2010-05-19 |