Wilma, Ltd

NPI #1831120088 in Melrose Park, Illinois

Provider Information

NPI Number: 1831120088
Entity Type: Organization
Organization Name: Wilma, Ltd
Primary Specialty: Optometrist
Enumeration Date: Jul 6, 2006
Last Updated: Dec 18, 2008

Practice Location

Address: 904 W NORTH AVE
City: Melrose Park
State: Illinois
ZIP Code: 60160-1520
Phone: (708) 343-9009

Authorized Official

Name: DR. SPENCER PAUL VIDULICH, O.D.
Title: OWNER/DOCTOR
Phone: (773) 327-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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