| NPI | 1699943316 |
|---|---|
| Doing Business As | WICKER PARK EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL J TEPPER Owner 773-376-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL IL0 36096708) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2018-09-12 |