| NPI | 1598071227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALAN UDESKY O PT Ometrist 847-562-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009031) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2012-09-05 |