NPI | 1275653263 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY STEVEN DOREN President 773-935-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036079629) |
Enumeration Date | 2007-03-31 |
Last Update Date | 2020-08-22 |