| NPI | 1508394933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDELHAFETH AWAD Owner Optometrist 773-988-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010716) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046010716) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2020-12-23 |