Organization
FORZLEY-COLANDER EYE CLINIC, INC
Active
Other names
Colander-Nolan Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIAN COLANDER O.D. (OPTOMETRIST)
(773) 218-4165
Entity
Organization
Contact information
Practice address
11412 S HARLEM AVE, WORTH, IL 60482-2004
(708) 422-7000
(708) 448-4295
Mailing address
11412 S HARLEM AVE, WORTH, IL 60482-2004
(708) 422-7000
(708) 448-4295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010615
IL
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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