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Organization

GLEN ELLYN VISION CENTER PC

Active
Other names
ELGIN VISION CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTIN J SIKORSKI OD (PRESIDENT)
(847) 695-2020
Entity
Organization

Contact information

Practice address
1245 LARKIN AVE, ELGIN, IL 60123-6033
(847) 695-2020
(847) 695-2242
Mailing address
1245 LARKIN AVE, ELGIN, IL 60123-6033
(847) 695-2020
(847) 695-2242

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.008870
IL
152WC0802X
Corneal and Contact Management Optometrist
046.008870
IL
152WP0200X
Pediatric Optometrist
046.008870
IL
152WV0400X
Vision Therapy Optometrist
046.008870
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CI5349
RAILROAD MEDICARE
IL
Enumeration date
12/19/2006
Last updated
07/08/2008
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