Organization
ILLINOIS EYE ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY M PIETRZYK OD (PRESIDENT)
(815) 478-0100
Entity
Organization
Contact information
Practice address
116 N SECOND ST, PEOTONE, IL 60468-9247
(708) 258-3225
Mailing address
540 W NORTH ST, SUITE 209, MANHATTAN, IL 60442-8201
(815) 478-0100
(815) 478-9100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009714
IL
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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