| NPI | 1851533871 |
|---|---|
| Doing Business As | CHICAGO VISION CLUB |
| Entity Type | Organization |
| Authorized Contact | FERNANDO F MOSQUEDA Optometrist 847-869-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046008203) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |