| NPI | 1548766785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRIN PATEL Owners/O PT Ometrist 312-805-5918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010829) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |