NPI | 1285818120 |
---|---|
Doing Business As | GRANVILLE VISION CENTER |
Entity Type | Organization |
Authorized Contact | ERNEST ISAMU WATANABE President 773-465-6660 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 046006692) |
Enumeration Date | 2007-12-27 |
Last Update Date | 2008-09-09 |