| NPI | 1730377011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SAMUEL FAGMAN Physician/Owner 847-675-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-049793) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |