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Organization

EYELINES ACQUISITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER LEE JOHNSON (OWNER)
(312) 236-6460
Entity
Organization

Contact information

Practice address
112 W MONROE ST, CHICAGO, IL 60603-1607
(312) 236-6460
Mailing address
112 W MONROE ST, CHICAGO, IL 60603-1607

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
01/07/2018
Last updated
01/07/2018
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