Organization
LAVENDER STREIFF PC
Active
Other names
Bensenville Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVENDER STREIFF O.D. (PRESIDENT/VICE PRESIDENT/SECRETARY)
(847) 254-9665
Entity
Organization
Contact information
Practice address
117 W MAIN ST, BENSENVILLE, IL 60106-2133
(630) 860-5066
Mailing address
117 W MAIN ST, BENSENVILLE, IL 60106-2133
(630) 860-5066
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009684
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009684
—
IL
01
—
1634550
BLUE CROSS BLUE SHIELD
IL
01
—
DN7492
RAILROAD MEDICARE
IL
Enumeration date
09/25/2007
Last updated
04/23/2009
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