| NPI Details | |
|---|---|
| NPI | 1568586469 |
| Enumeration Date | 03/17/2007 |
| Last Updated | 03/07/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | LEO LEO |
| Position | PRESIDENT |
| Phone | (847) 913-5545 |
| Fax | |
| Practice Location | |
|---|---|
| 464 W HALF DAY RD BUFFALO GROVE IL, 60089-6555, US |
|
| Phone | (847) 913-5545 |
| Fax | |
| Business Location | |
|---|---|
| 464 W HALF DAY RD BUFFALO GROVE IL, 60089-6555, US |
|
| Phone | (847) 913-5545 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 152W00000X |
| License State | Illinois |
| License Number | 046006238 |
| Remove 1568586469 NPI Number | |
According to our database, Woodland Fashion Optical Inc NPI is 1568586469, taxonomy code is 152W00000X and license number is 046006238, license state is located at Illinois. Woodland Fashion Optical Inc physically located at 464 W Half Day Rd, Buffalo Grove IL, 60089-6555. NPI Number 1033115704 has the healthcare provider type.
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1568586469 NPI number is provided on an as is basis without warranty of any kind. 1568586469 is maintained by the National Plan & Provider Enumeration System. The contents of Woodland Fashion Optical Inc are for informational purposes only.
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