NPI | 1730120692 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ANTHONY ROSANOVA President 773-594-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036067273) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2023-06-20 |