Organization
ELK GROVE OPTICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNG Y KIM (OPTOMETRIST (O.D.))
(847) 584-9900
Entity
Organization
Contact information
Practice address
611 MEACHAM RD, ELK GROVE VILLAGE, IL 60007-3020
(847) 584-9900
(847) 584-9905
Mailing address
611 MEACHAM RD, ELK GROVE VILLAGE, IL 60007-3020
(847) 584-9900
(847) 584-9905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009854
IL
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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