| NPI | 1457771792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM ROBINSON President 312-780-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 251B00000X Case Management |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2025-09-12 |