Organization
ID CHICAGO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J ARTIM O.D. (OPTOMETRIST)
(773) 755-4343
Entity
Organization
Contact information
Practice address
3337 N HALSTED ST, CHICAGO, IL 60657-2694
(773) 755-4343
Mailing address
3337 N HALSTED ST, CHICAGO, IL 60657-2694
(773) 755-4343
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046 8255
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780739862
PERSONAL NPI NUMBER
IL
Enumeration date
12/07/2010
Last updated
12/07/2010
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