Organization
VILLAGE EYE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENA LESEIKO-OWERKO O.D. (OWNER)
(773) 486-2147
Entity
Organization
Contact information
Practice address
2308 W CHICAGO AVENUE, UNIT 1, CHICAGO, IL 60622
(773) 486-2147
Mailing address
2308 W CHICAGO AVENUE, UNIT 1, CHICAGO, IL 60622
(773) 486-2147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007930
IL
Other
Enumeration date
10/15/2007
Last updated
08/29/2008
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