Organization
EYE SEE RAVENSWOOD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA J STEIN O.D. (OWNER)
(773) 961-8700
Entity
Organization
Contact information
Practice address
4735 NORTH DAMEN AVE, EYE SEE RAVENSWOOD, PC, CHICAGO, IL 60640
(773) 961-8700
(773) 961-8703
Mailing address
4735 NORTH DAMEN AVE, EYE SEE RAVENSWOOD, PC, CHICAGO, IL 60640
(773) 961-8700
(773) 961-8703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205388193
NPI
IL
Enumeration date
03/11/2009
Last updated
03/11/2009
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