Organization
EYEPOTHECARY
Active
Other names
E3llc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTE ELAINE SOLLARS III OPTICIAN (PRESIDENT)
(773) 782-1744
Entity
Organization
Contact information
Practice address
1726 W CHICAGO AVE, CHICAGO, IL 60622-5000
(773) 782-1744
(312) 733-1744
Mailing address
1726 W CHICAGO AVE, CHICAGO, IL 60622-5000
(773) 782-1744
(312) 733-1744
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
04739116
IL
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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