| NPI | 1801151766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE MALASKI Optometrist 312-209-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5493-T2405) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2018-05-31 |