Organization
CRYSTAL VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A SHERMULIS O.D. (PRESIDENT)
(773) 445-4200
Entity
Organization
Contact information
Practice address
10719 S WESTERN AVE, CHICAGO, IL 60643-3135
(773) 445-4200
Mailing address
10719 S WESTERN AVE, CHICAGO, IL 60643-3135
(773) 445-4200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
03/17/2008
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