Antioch Eye Associates Od Pc

NPI 1033385141 - Optometrist - 152W00000X

NPI Details
NPI 1033385141
Enumeration Date 05/08/2008
Last Updated 12/15/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CONNIE J CONNIE
Position OWNER
Phone (847) 395-4090
Fax (847) 395-7378
Practice Location
884 HILLSIDE AVE
ANTIOCH IL, 60002-1226, US
Phone (847) 395-4090
Fax (847) 395-7378
Business Location
884 HILLSIDE AVE
ANTIOCH IL, 60002-1226, US
Phone (847) 395-4090
Fax (847) 395-7378
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046009062
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According to our database, Antioch Eye Associates Od Pc NPI is 1033385141, taxonomy code is 152W00000X and license number is 046009062, license state is located at Illinois. Antioch Eye Associates Od Pc physically located at 884 Hillside Ave, Antioch IL, 60002-1226. NPI Number 1033115704 has the healthcare provider type.

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1033385141 NPI number is provided on an as is basis without warranty of any kind. 1033385141 is maintained by the National Plan & Provider Enumeration System. The contents of Antioch Eye Associates Od Pc are for informational purposes only.