Organization
ROSLEY EYECARE AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGDALENA LUCIA BAK OD (OPTOMETRIST/PARTNER)
(773) 343-0212
Entity
Organization
Contact information
Practice address
2300 LEHIGH AVE STE 100, GLENVIEW, IL 60026-1692
(224) 432-5147
(224) 432-5167
Mailing address
2300 LEHIGH AVE STE 100, GLENVIEW, IL 60026-1692
(224) 432-5147
(224) 432-5167
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
Other
Enumeration date
08/09/2021
Last updated
01/31/2022
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