Organization
HALSTED EYE BOUTIQUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. SLUSKY O.D. (PRESIDENT)
(847) 477-5612
Entity
Organization
Contact information
Practice address
2852 N HALSTED ST, CHICAGO, IL 60657-6531
(773) 549-1111
(773) 546-1116
Mailing address
697 LYSTER RD, HIGHWOOD, IL 60040-2007
(847) 477-5612
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008926
IL
152WC0802X
Corneal and Contact Management Optometrist
046-008926
IL
Other
Enumeration date
01/07/2008
Last updated
06/30/2021
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