Organization
DIABETIC EYE CENTERS OF AMERICA, INCORPORATED
Active
Other names
Eyes On La Grange, Diabetic Eye Centers of America
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NICOLE P. LAFINE (STAFF)
(708) 499-0123
Entity
Organization
Contact information
Practice address
22 W HARRIS AVE, LA GRANGE, IL 60525-2332
(708) 639-4270
(708) 639-4271
Mailing address
22 W HARRIS AVE, LA GRANGE, IL 60525-2332
(708) 639-4270
(708) 639-4271
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010097
IL
Other
Enumeration date
02/28/2011
Last updated
09/25/2013
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