Organization
EDGEBROOK VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSEMARY THERESA KAFKA (PRESIDENT)
(773) 550-9667
Entity
Organization
Contact information
Practice address
5315 W DEVON AVE, CHICAGO, IL 60646-4107
(773) 775-6555
(773) 775-3350
Mailing address
5315 W DEVON AVE, CHICAGO, IL 60646-4107
(773) 775-6555
(773) 775-3350
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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