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 |