| NPI | 1710010608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN P. BUTZON Owner 630-279-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046007993) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046008266) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046007993) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: IL 046007993) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: IL 046007993) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-03-07 |