| NPI | 1548461866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY ANNE GONZALEZ Od 312-208-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: FL opc 4027) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-11-20 |