| NPI | 1316170202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MARIA HERNANDEZ Managing Member 708-822-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL OS 10559) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |