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Organization

ANTIOCH EYECARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT POUYAT OD (PRESIDENT)
(847) 997-1477
Entity
Organization

Contact information

Practice address
735 MAIN ST, ANTIOCH, IL 60002-1321
(847) 997-1477
Mailing address
735 MAIN ST, ANTIOCH, IL 60002-1321
(847) 997-1477

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009065
IL

Other

Enumeration date
05/26/2017
Last updated
07/21/2022
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