| NPI | 1760604425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT G OSTOICH Physician Owner 773-631-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 060008861) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 060008861) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |