Organization
ENVISION EYE CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY ETHAN RUFF M.D. (OWNER)
(847) 295-0001
Entity
Organization
Contact information
Practice address
900 N WESTMORELAND RD, SUITE LL84, LAKE FOREST, IL 60045-1681
(847) 295-0001
Mailing address
900 N WESTMORELAND RD, SUITE LL84, LAKE FOREST, IL 60045-1681
(847) 295-0001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
036062774
IL
Other
Enumeration date
08/20/2008
Last updated
12/23/2011
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