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Organization

EYES ON ELBURN LTD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH HOUGAS O.D. (PRESIDENT)
(630) 365-5225
Entity
Organization

Contact information

Practice address
135 S MAIN ST, UNIT 4, ELBURN, IL 60119-9108
(630) 365-5225
(630) 365-5240
Mailing address
135 S MAIN ST, UNIT 4, ELBURN, IL 60119-9108

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009169
IL

Other

Enumeration date
11/05/2008
Last updated
12/06/2012
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