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Organization
EYE CARE LTD
Active
Organization
EYE CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BERMAN M.D. (OWNER)
(847) 677-1631
Entity
Organization
Contact information
Practice address
9630 KENTON AVE, SKOKIE, IL 60076-1216
(847) 677-1631
(847) 677-1406
Mailing address
9630 KENTON AVE, SKOKIE, IL 60076-1216
(847) 677-1631
(847) 677-1406
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC0722
RAILROAD MEDICARE
IL
Enumeration date
01/22/2007
Last updated
12/08/2021
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