| NPI | 1992714463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA DENISE ADAMS O PT Ometrist 630-377-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046008731) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2011-10-01 |