| NPI | 1689601940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHITTARANJAN V. REDDY Owner 309-693-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 042-616854) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036090651) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2018-08-21 |