Organization
WILMETTE EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW KOHN (OPTOMETRIST)
(812) 219-9983
Entity
Organization
Contact information
Practice address
1125 GREENLEAF AVE, WILMETTE, IL 60091-2708
(812) 219-9983
Mailing address
203 S SANGAMON ST APT 108, CHICAGO, IL 60607-3010
(812) 219-9983
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010334
IL
Other
Enumeration date
04/03/2018
Last updated
06/01/2020
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