Organization
EYE MAGIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLA SUE DIAMOND (PRESIDENT)
(847) 433-9116
Entity
Organization
Contact information
Practice address
605 ELM PLACE, HIGHLAND PARK, IL 60035
(847) 433-9116
(847) 433-1829
Mailing address
605 ELM PLACE, HIGHLAND PARK, IL 60035
(847) 433-9116
(847) 433-1829
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/04/2008
Last updated
09/26/2008
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