Organization
LAKESIDE EYE CARE & EYE WEAR EMPORIUM, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADER E. FAKHOURY O.D. (PRESIDENT)
(847) 864-9393
Entity
Organization
Contact information
Practice address
1605 BENSON AVENUE, EVANSTON, IL 60201
(847) 864-9393
Mailing address
1605 BENSON AVENUE, EVANSTON, IL 60201
(847) 864-9393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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