| NPI | 1760666754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN ALEXANDER GRANT President 708-499-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036111343) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2010-07-07 |