Idoc Inc.

NPI 1255532248 - Optometrist - 152W00000X

NPI Details
NPI 1255532248
Enumeration Date 05/29/2007
Last Updated 09/27/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ERWIN P. ERWIN
Position DOCTOR OF OPTOMETRY- PRESIDENT
Phone (708) 493-9306
Fax (708) 493-0144
Practice Location
4113 SAINT CHARLES RD
BELLWOOD IL, 60104-1145, US
Phone (708) 493-9306
Fax (708) 493-0144
Business Location
4113 SAINT CHARLES RD
BELLWOOD IL, 60104-1145, US
Phone (708) 493-9306
Fax (708) 493-0144
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046009094
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According to our database, Idoc Inc. NPI is 1255532248, taxonomy code is 152W00000X and license number is 046009094, license state is located at Illinois. Idoc Inc. physically located at 4113 Saint Charles Rd, Bellwood IL, 60104-1145. NPI Number 1033115704 has the healthcare provider type.

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1255532248 NPI number is provided on an as is basis without warranty of any kind. 1255532248 is maintained by the National Plan & Provider Enumeration System. The contents of Idoc Inc. are for informational purposes only.