NPI | 1669636270 |
---|---|
Doing Business As | MIDWEST EYE CLINIC |
Entity Type | Organization |
Authorized Contact | ERNESTO CARRASCO President 773-581-1515 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 346002682) |
Enumeration Date | 2008-07-12 |
Last Update Date | 2008-07-12 |