Organization
CHICAGO EYES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA RAFAEL O.D. (OPTOMETRIST)
(773) 743-1221
Entity
Organization
Contact information
Practice address
6200 N CLARK ST, CHICAGO, IL 60660-1208
(773) 743-1221
Mailing address
6200 N CLARK ST, CHICAGO, IL 60660-1208
(773) 743-1221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.008419
IL
Other
Enumeration date
01/26/2007
Last updated
01/13/2016
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