Organization
EDDY SKOKIE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EDGARD LEGUIZAMON (OPTICIAN)
(847) 679-1775
Entity
Organization
Contact information
Practice address
8035 N LINCOLN AVE, SKOKIE, IL 60077-3612
(847) 679-1775
(847) 679-4231
Mailing address
8035 N LINCOLN AVE, SKOKIE, IL 60077-3612
(847) 679-1775
(847) 679-4231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
047928740
IL
Other
Enumeration date
03/05/2008
Last updated
10/31/2008
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