Organization
EYE CARE ASSOCIATES OF NORTHERN ILLINOIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD ARTHUR ROBERT O.D. (OWNING PARTNER)
(630) 960-0456
Entity
Organization
Contact information
Practice address
10215 W ROOSEVELT RD, WESTCHESTER, IL 60154-2576
(708) 345-7005
(708) 345-7043
Mailing address
10215 W ROOSEVELT RD, WESTCHESTER, IL 60154-2576
(708) 345-7005
(708) 345-7043
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01626807
BCBS OF IL
IL
Enumeration date
08/19/2006
Last updated
02/15/2011
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