Organization
EYE SPECIALISTS OF CHICAGO AND HIGHLAND PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALENTINA RUEHL (INSURANCE COORDINATOR)
(773) 736-1717
Entity
Organization
Contact information
Practice address
5600 W ADDISON ST, SUITE 102, CHICAGO, IL 60634-4401
(773) 736-1717
(773) 736-7538
Mailing address
5600 W ADDISON ST, SUITE 102, CHICAGO, IL 60634-4401
(773) 736-1717
(773) 736-7538
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164000001
ADMINASTAR DMERC PROV NUM
IL
Enumeration date
03/06/2007
Last updated
07/21/2022
Update your record
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