Individual
DR. SCOTT MARK SEABURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
645 N MICHIGAN AVE, STE. 210, CHICAGO, IL 60611-2826
(312) 787-2020
Mailing address
645 N MICHIGAN AVE, STE. 210, CHICAGO, IL 60611-2826
(312) 787-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011016
IL
152W00000X
Optometrist
OD60643254
WA
Other
Enumeration date
06/09/2016
Last updated
06/11/2016
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