| NPI | 1285612390 |
|---|---|
| Doing Business As | ILLINOIS EYE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | MARK COLIP President 312-949-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 8720518) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2021-01-08 |