Organization
MIDWEST EYE GROUP, P.C.
Active
Other names
Midwest Eye Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN MARIE BIRCH O.D. OPTOMETRIST (PRESIDENT)
(773) 581-1515
Entity
Organization
Contact information
Practice address
6254 S. PULASKI ROAD, CHICAGO, IL 60629
(773) 581-1515
(773) 581-9663
Mailing address
6254 S. PULASKI ROAD, CHICAGO, IL 60629
(773) 581-1515
(773) 581-9663
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046008190
IL
152W00000X
Optometrist
Primary
060-009246
IL
Other
Enumeration date
03/30/2008
Last updated
09/13/2010
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