NPI | 1871970715 |
---|---|
Entity Type | Organization |
Authorized Contact | MAGDY MINA Owner 630-963-3260 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: IL 13-ACM-0096) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2015-04-29 |