Illinieye Inc

NPI 1114305943 - Optometrist - 152W00000X

NPI Details
NPI 1114305943
Enumeration Date 05/13/2015
Last Updated 05/13/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name YEVGENY YEVGENY
Position OPTOMETRIST
Phone (847) 394-2255
Fax
Practice Location
1119 MOUNT PROSPECT PLZ
MT PROSPECT IL, 60056-2653, US
Phone (847) 394-2255
Fax
Business Location
1119 MOUNT PROSPECT PLZ
MT PROSPECT IL, 60056-2653, US
Phone (847) 394-2255
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046009751
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According to our database, Illinieye Inc NPI is 1114305943, taxonomy code is 152W00000X and license number is 046009751, license state is located at Illinois. Illinieye Inc physically located at 1119 Mount Prospect Plz, Mt Prospect IL, 60056-2653. NPI Number 1033115704 has the healthcare provider type.

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1114305943 NPI number is provided on an as is basis without warranty of any kind. 1114305943 is maintained by the National Plan & Provider Enumeration System. The contents of Illinieye Inc are for informational purposes only.