Organization
NORTHWESTERN LASER VISION, LLC
Active
Other names
TLC Chicago Northwestern
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN L ANDREW (SECRETARY)
(636) 534-2300
Entity
Organization
Contact information
Practice address
675 N SAINT CLAIR ST, SUITE 15, CHICAGO, IL 60611-5975
(312) 695-2737
Mailing address
16305 SWINGLEY RIDGE RD, STE. 300, CHESTERFIELD, MO 63017-1777
(636) 534-2300
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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