| NPI | 1669530838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD GEO DOLEZAL Physician Owner 815-455-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036070162) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-02-28 |