| NPI | 1508088683 |
|---|---|
| Doing Business As | ELGIN FAMILY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | SUSAN M PENNER Owner 815-734-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-05-20 |