Organization
PLANO CHILD DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L. JOHNSON SR. O.D. (PRESIDENT)
(773) 924-5297
Entity
Organization
Contact information
Practice address
5401 S WENTWORTH AVE STE 14A, CHICAGO, IL 60609-6300
(773) 924-5297
(773) 373-3548
Mailing address
5401 S WENTWORTH AVE STE 14A, CHICAGO, IL 60609-6300
(773) 924-5297
(773) 373-3548
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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