NPI | 1700271780 |
---|---|
Entity Type | Organization |
Authorized Contact | LYDIA LIU-TCHORBADJIYSKI Optometrist Owner 847-867-7051 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010314) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2015-08-26 |