| NPI | 1568584506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY NAGULAPALLI RAO President 847-668-5498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036102488) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |