Organization
CONCEPT EYE CARE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA LORRAIN REYNOLDS-TEMPLE O.D. (PRESIDENT)
(773) 363-0202
Entity
Organization
Contact information
Practice address
1605 E 55TH ST, 1ST FLR, CHICAGO, IL 60615-5803
(773) 363-0202
(773) 363-0201
Mailing address
1605 E 55TH ST, 1ST FLR, CHICAGO, IL 60615-5803
(773) 363-0202
(773) 363-0201
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
0046008464
IL
Other
Enumeration date
05/20/2007
Last updated
07/24/2007
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