| NPI | 1811479058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE STONE Owner/ Physician 773-561-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |