Organization
OSTOICH OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT G. OTOICH OD (PHYSICIAN OWNER)
(773) 631-2980
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, #300, CHICAGO, IL 60631-3745
(773) 631-2980
(773) 631-2842
Mailing address
7447 W TALCOTT AVE, #300, CHICAGO, IL 60631-3745
(773) 631-2980
(773) 631-2842
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
060008860
IL
Other
Enumeration date
05/03/2007
Last updated
05/12/2008
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