| NPI | 1730628033 |
|---|---|
| Former Legal Business Name | DES PLAINES EYECARE CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | MARINA TODOROVA Owner 224-236-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2018-05-08 |