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Organization

INDUSTRIAL OPTICAL SERVICE, INC.

Active
Other names
Spex
Organization subpart
No

Provider details

NPI number
Authorized official
CARRIE ROITSTEIN O.D. (OPTOMETRIST)
(312) 673-7192
Entity
Organization

Contact information

Practice address
185 MILWAUKEE AVE, LINCOLNSHIRE, IL 60069-3010
(847) 325-4440
Mailing address
115 S LASALLE ST, 27TH FLOOR, CHICAGO, IL 60603
(312) 673-7192

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1636706
BCBS
IL
01
7235044
AETNA
IL
Enumeration date
01/11/2007
Last updated
12/04/2012
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