Organization
ADVANCED EYECARE PROFESSIONALS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER E PANKOW (OFFICE MANAGER)
(708) 229-2200
Entity
Organization
Contact information
Practice address
10320 S CICERO AVE, OAK LAWN, IL 60453-4702
(708) 229-2200
(708) 229-2233
Mailing address
10320 S CICERO AVE, OAK LAWN, IL 60453-4702
(708) 229-2200
(708) 229-2233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635405
BLUECROSS BLUESHIELD
IL
Enumeration date
04/09/2007
Last updated
01/05/2017
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