| NPI | 1841563681 |
|---|---|
| Doing Business As | PALOS VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | EDWARD L MONTWILL President 708-361-5236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.008324) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |