| NPI | 1336184217 |
|---|---|
| Former Legal Business Name | PEREZ/GONZALEZ OPTICAL, INC |
| Entity Type | Organization |
| Authorized Contact | ANGELICA PEREZ Optometrist 312-332-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 46009607) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2013-11-05 |