Organization
ANTIOCH EYE ASSOCIATES OD PC
Active
Other names
Connie J. Crawford OD, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE J CRAWFROD O.D. (OWNER)
(847) 395-4090
Entity
Organization
Contact information
Practice address
884 HILLSIDE AVE, ANTIOCH, IL 60002-1226
(847) 395-4090
(847) 395-7378
Mailing address
884 HILLSIDE AVE, ANTIOCH, IL 60002-1226
(847) 395-4090
(847) 395-7378
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007913
IL
152W00000X
Optometrist
046009062
IL
Other
Enumeration date
05/08/2008
Last updated
12/15/2011
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