NPI | 1356559595 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA LORRAIN REYNOLDS-TEMPLE President 773-363-0202 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 0046008464) |
Enumeration Date | 2007-05-20 |
Last Update Date | 2007-07-24 |