Organization
ILLINIEYE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEVGENY GRINMAN O.D. (OPTOMETRIST)
(847) 394-2255
Entity
Organization
Contact information
Practice address
1119 MOUNT PROSPECT PLZ, MT PROSPECT, IL 60056-2653
(847) 394-2255
Mailing address
1119 MOUNT PROSPECT PLZ, MT PROSPECT, IL 60056-2653
(847) 394-2255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009751
IL
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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