| NPI | 1508972498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN J ROSSER President 847-226-6017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 042.006016) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 042.006016) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2014-07-21 |