| NPI | 1922256239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON M ROVENSTINE O PT Ometrist/Owner 630-820-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-010067) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: IL 046-010067) |
| 152WP0200X Optometrist Pediatrics (Licence: IL 046-010067) | |
| 152WV0400X Optometrist Vision Therapy (Licence: IL 046-010067) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |