Eyecare Associates Of Illinois Pc

NPI 1083759302 - Optometrist - 152W00000X

NPI Details
NPI 1083759302
Enumeration Date 02/21/2007
Last Updated 08/06/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEFFERY W. JEFFERY
Position OWNER
Phone (630) 530-2070
Fax (630) 530-4325
Practice Location
17 W. 412-414 22ND ST.
STE. M&N
OAKBROOK TERRACE IL, 60181, US
Phone (630) 530-2070
Fax (630) 530-4325
Business Location
285 W 74TH PL
HIALEAH FL, 33014-5058, US
Phone (305) 557-9004
Fax (305) 362-2885
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 46007637
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According to our database, Eyecare Associates Of Illinois Pc NPI is 1083759302, taxonomy code is 152W00000X and license number is 46007637, license state is located at Illinois. Eyecare Associates Of Illinois Pc physically located at 17 W. 412-414 22nd St., Oakbrook Terrace IL, 60181. NPI Number 1033115704 has the healthcare provider type.

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1083759302 NPI number is provided on an as is basis without warranty of any kind. 1083759302 is maintained by the National Plan & Provider Enumeration System. The contents of Eyecare Associates Of Illinois Pc are for informational purposes only.