| NPI | 1992176580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN KIESLING Billing Manager 630-325-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036111405) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2022-12-07 |