| NPI | 1477639714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDI FREIBERG Administer 847-301-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist |
| 152W00000X Optometrist | |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2020-08-22 |