Organization
CHATAAM OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ONTAVIUS PERKINS (OWNER)
(773) 793-9723
Entity
Organization
Contact information
Practice address
8741 S GREENWOOD AVE STE 108, CHICAGO, IL 60619-7058
(773) 933-0276
(773) 933-0278
Mailing address
8741 S GREENWOOD AVE STE 108, CHICAGO, IL 60619-7058
(773) 933-0276
(773) 933-0278
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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