| NPI | 1487859401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA COX Administrative Assistant 309-829-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: IL 042000963) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-04-14 |