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 |