| NPI | 1487817409 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | GUILE JACKSON President 773-545-9641 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: IL 35978260) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-09-18 |