NPI | 1881834836 |
---|---|
Entity Type | Organization |
Authorized Contact | GREG PAPPAS Member 312-588-5999 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009995) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 0460009895) |
Enumeration Date | 2009-03-04 |
Last Update Date | 2022-03-09 |