Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | IL |
NPI | 1245262088 |
---|---|
Provider Name | Dr. Julie M Ensinger |
First Address | Lisle, IL 60532-1724 |
Second Address | Lisle, IL 60532-1724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 03/03/2008 |