| NPI | 1679716161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIZA MARIA GHEORGHE -YOUSSEFI President 312-622-0709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009906) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-08-04 |