| NPI | 1821707217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN PAULA WINKLER Owner 224-567-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |