| NPI | 1356513337 |
|---|---|
| Doing Business As | MIDWEST EYE GROUP |
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE BIRCH President 773-581-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 060-009246) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046008190) |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2010-09-13 |