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Organization
EYECARE PHYSICIANS AND SURGEONS INC.
Active
Organization
EYECARE PHYSICIANS AND SURGEONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLEOFE G MAIBENCO-PHILLIPS (PRESIDENT)
(773) 239-4090
Entity
Organization
Contact information
Practice address
1701 W MONTEREY AVE STE 12, CHICAGO, IL 60643-4257
(773) 239-4090
(773) 239-4101
Mailing address
1701 W MONTEREY AVE STE 12, CHICAGO, IL 60643-4257
(773) 239-4090
(773) 239-4101
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/12/2006
Last updated
12/13/2012
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