Individual
DR. MICHAEL SCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3539 N SOUTHPORT AVE, CHICAGO, IL 60657-6447
(773) 871-2020
Mailing address
3539 N SOUTHPORT AVE, CHICAGO, IL 60657-6447
(773) 871-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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