| NPI | 1841422938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DAVID BOOTS President 630-961-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL IL-046008982) |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2009-08-22 |