| NPI | 1811185770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND HENRY MOELLER Owner 630-573-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-11-02 |