| NPI | 1407971252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MARY MCNELIS Clinical Director 847-621-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046008388) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2021-07-20 |