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Organization

OPTICAL 20/20

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA E TORRES (OWNER)
(773) 522-2501
Entity
Organization

Contact information

Practice address
3215 W CERMAK RD, CHICAGO, IL 60623-3310
(773) 522-2501
Mailing address
3215 W CERMAK RD, CHICAGO, IL 60623-3310

Taxonomy

Speciality
Code
Description
License number
State
332G00000X
Eye Bank
Primary
1598291
IL

Other

Enumeration date
07/19/2007
Last updated
07/19/2007
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