| NPI | 1982147435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAYUAN LI Optician 312-842-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: IL 171913) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |