Individual
DAYNE JORDAN CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3241 S MICHIGAN AVE STE 1, CHICAGO, IL 60616-3878
(312) 225-6200
Mailing address
3241 S MICHIGAN AVE STE 1, CHICAGO, IL 60616-3878
(312) 225-6200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011995
IL
Other
Enumeration date
06/09/2025
Last updated
07/17/2025
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