| NPI | 1932554532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHENIE YOUNG Owner/Optometrist 773-904-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010569) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |