| NPI | 1538204516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY NOVAK Vice President 708-474-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: IL 18038042) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-05-29 |