Village Eye Ltd

NPI 1104015296 - Optometrist - 152W00000X

NPI Details
NPI 1104015296
Enumeration Date 10/15/2007
Last Updated 08/29/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name IRENA IRENA
Position OWNER
Phone (773) 486-2147
Fax
Practice Location
2308 W CHICAGO AVENUE
UNIT 1
CHICAGO IL, 60622, US
Phone (773) 486-2147
Fax
Business Location
2308 W CHICAGO AVENUE
UNIT 1
CHICAGO IL, 60622, US
Phone (773) 486-2147
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046007930
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According to our database, Village Eye Ltd NPI is 1104015296, taxonomy code is 152W00000X and license number is 046007930, license state is located at Illinois. Village Eye Ltd physically located at 2308 W Chicago Avenue, Chicago IL, 60622. NPI Number 1033115704 has the healthcare provider type.

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1104015296 NPI number is provided on an as is basis without warranty of any kind. 1104015296 is maintained by the National Plan & Provider Enumeration System. The contents of Village Eye Ltd are for informational purposes only.