Vidulich, Blase & Valentino, P.c.

NPI 1164615225 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1164615225
Enumeration Date 08/22/2007
Last Updated 10/04/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SPENCER P SPENCER
Position OWNER
Phone (773) 327-3000
Fax (773) 327-3012
Practice Location
1730 W FULLERTON AVE
CHICAGO IL, 60614-1900, US
Phone (773) 327-3000
Fax (773) 327-3012
Business Location
1730 W FULLERTON AVE
CHICAGO IL, 60614-1900, US
Phone (773) 327-3000
Fax (773) 327-3012
Toxanomy
Taxonomy Code 332H00000X
License State
License Number
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According to our database, Vidulich, Blase & Valentino, P.c. NPI is 1164615225, taxonomy code is 332H00000X Vidulich, Blase & Valentino, P.c. physically located at 1730 W Fullerton Ave, Chicago IL, 60614-1900. NPI Number 1033115704 has the healthcare provider type.

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1164615225 NPI number is provided on an as is basis without warranty of any kind. 1164615225 is maintained by the National Plan & Provider Enumeration System. The contents of Vidulich, Blase & Valentino, P.c. are for informational purposes only.