| NPI | 1659488898 |
|---|---|
| Doing Business As | NORTHWEST EYECARE 1 |
| Entity Type | Organization |
| Authorized Contact | DIANA F PENUELA-ONEILL President 847-658-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-008362) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-04-06 |