Organization
HTNB LLC
Active
Other names
Vision Boutique, West Loop Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL ALAN BOLDUS O.D. (OPTOMETRIST)
(312) 432-0080
Entity
Organization
Contact information
Practice address
14 S PEORIA ST, CHICAGO, IL 60607-2628
(224) 730-0650
(312) 432-0586
Mailing address
14 S PEORIA ST, CHICAGO, IL 60607-2628
(224) 730-0650
(312) 432-0586
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009186
IL
Other
Enumeration date
12/17/2009
Last updated
05/08/2023
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