Organization
EYE SOCIETY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANVI DINESH MAGO O.D. (PRESIDENT)
(917) 414-9434
Entity
Organization
Contact information
Practice address
230 E OHIO ST, SUTIE 120, CHICAGO, IL 60611-3265
(312) 929-3765
(312) 929-3765
Mailing address
230 E OHIO ST, SUTIE 120, CHICAGO, IL 60611-3265
(312) 929-3765
(312) 929-3765
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.009935
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009935
—
IL
Enumeration date
03/31/2008
Last updated
01/24/2011
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