Organization
SHELLE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BECKER (OWNER)
(708) 754-7111
Entity
Organization
Contact information
Practice address
170 W SAUK TRL, SOUTH CHICAGO HEIGHTS, IL 60411-5359
(708) 754-7111
Mailing address
170 W SAUK TRL, SOUTH CHICAGO HEIGHTS, IL 60411-5359
(708) 754-7111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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