Organization
ADVANCED FAMILY EYECARE CENTER OF BOLINGBROOK,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WILLIAM SUBAK JR. O.D. (PRESIDENT)
(630) 759-6506
Entity
Organization
Contact information
Practice address
480 W BOUGHTON RD, BOLINGBROOK, IL 60440-1890
(630) 759-6506
(630) 759-6651
Mailing address
13165 RAPHAEL ST, LEMONT, IL 60439-9164
(630) 759-6506
(630) 759-6651
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-007833
IL
Other
Enumeration date
12/13/2011
Last updated
08/30/2012
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