| NPI | 1699802421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN HENDRICK TICHO Owner/Partner/Physician 708-423-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 156FX1202X Technician/Technologist, Optometric Technician |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2013-04-30 |