| NPI | 1932352994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHULA LERDVORATAVEE President 630-844-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: IL 046007841) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2022-07-14 |