| NPI | 1902156896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY WOLTMAN Manager/Owner 630-914-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1700X Technician/Technologist, Ocularist (Licence: IL 0631512) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2023-07-12 |