Organization
METRO CONSULTANTS & PHYSICIANS EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVARISTUS FERGUSON UDOISA MD (CEO)
(773) 651-6977
Entity
Organization
Contact information
Practice address
326 WEST 64TH STREET, SUITE 214 ST. BERNARD HOSP. PROF. PAVILION, CHICAGO, IL 60621
(773) 651-6977
(773) 651-3978
Mailing address
2155 HIGH ST, BERKELEY, IL 60163-1534
(773) 651-6977
(773) 651-3978
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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