NPI | 1265942502 |
---|---|
Doing Business As | SOUTH SHORE EYECARE |
Entity Type | Organization |
Authorized Contact | NICHOLAS CHIARAMONTI Director Of Professional Services 630-546-8319 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046008520) |
Enumeration Date | 2017-09-30 |
Last Update Date | 2017-09-30 |