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Organization

THADDEUS

Active
Other names
Pearle Vision
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SPENCER P VIDULICH O.D. (OWNER)
(773) 327-3000
Entity
Organization

Contact information

Practice address
4812 N. MILWAUKEE, CHICAGO, IL 60646
(773) 545-2660
Mailing address
4812 N. MILWAUKEE, CHICAGO, IL 60646
(773) 545-2660

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
08/16/2007
Last updated
10/04/2007
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