| NPI | 1407246788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA KOSIBA Doctor Of Optometry 815-347-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 046-010473) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |