Individual
ERWIN WILLIAM OVITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3500 W PETERSON AVE STE 401, CHICAGO, IL 60659-3307
(773) 588-3090
Mailing address
3500 W PETERSON AVE STE 401, CHICAGO, IL 60659-3307
(773) 588-3090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010928
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010928
—
IL
05
—
310056635
—
MO
01
—
P01538936
RAILROAD MEDICARE
IL
Enumeration date
07/23/2015
Last updated
09/04/2018
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