Organization
METRO EYE CARE
Active
Other names
evaristus udoisa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVARISTUS UDOISA MD (PRESIDENT)
(630) 790-2929
Entity
Organization
Contact information
Practice address
326 W 64TH ST, CHICAGO, IL 60621-3114
(630) 790-2929
(630) 790-2930
Mailing address
2155 HIGH ST, BERKELEY, IL 60163-1534
(630) 790-2929
(630) 790-2930
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0360658588
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360658588
—
IL
Enumeration date
04/29/2008
Last updated
04/29/2008
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