Organization
AWAD EYECARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDELHAFETH AWAD OD (OWNER OPTOMETRIST)
(773) 988-7077
Entity
Organization
Contact information
Practice address
1845 S MICHIGAN AVE UNIT 1803, CHICAGO, IL 60616
(773) 988-7077
Mailing address
22955 FOLKESTONE WAY, FRANKFORT, IL 60423-1703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010716
IL
152WC0802X
Corneal and Contact Management Optometrist
046010716
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010716
—
IL
01
—
1306270061
NPI
—
Enumeration date
05/30/2017
Last updated
12/23/2020
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