Homer Glen Vision Source Llc

NPI 1437486362 - Optometrist - 152W00000X

NPI Details
NPI 1437486362
Enumeration Date 11/13/2009
Last Updated 11/13/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOHN J. JOHN
Position SOLE MANAGER
Phone (708) 301-3101
Fax (708) 301-3141
Practice Location
15933 S BELL RD
HOMER GLEN IL, 60491-6707, US
Phone (708) 301-3101
Fax (708) 301-3141
Business Location
15933 S BELL RD
HOMER GLEN IL, 60491-6707, US
Phone (708) 301-3101
Fax (708) 301-3141
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046-006455
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According to our database, Homer Glen Vision Source Llc NPI is 1437486362, taxonomy code is 152W00000X and license number is 046-006455, license state is located at Illinois. Homer Glen Vision Source Llc physically located at 15933 S Bell Rd, Homer Glen IL, 60491-6707. NPI Number 1033115704 has the healthcare provider type.

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1437486362 NPI number is provided on an as is basis without warranty of any kind. 1437486362 is maintained by the National Plan & Provider Enumeration System. The contents of Homer Glen Vision Source Llc are for informational purposes only.