| NPI | 1689001893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARPIRUT CHINOSORNVATANA Manager 847-414-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.010365) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |