Organization
NANCY JO PRYBYLO OD CHARTERED
Active
Other names
The Eye Site
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY JO PRYBYLO OD (OPTOMETRIST)
(773) 763-5200
Entity
Organization
Contact information
Practice address
7252 W FOSTER AVE, CHICAGO, IL 60656-3612
(773) 763-5200
(773) 763-5253
Mailing address
7252 W FOSTER AVE, CHICAGO, IL 60656-3612
(773) 763-5200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008196
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6308
DAVIS
IL
01
—
7737635200
VSP
IL
01
—
IL8196
EYEMED
IL
Enumeration date
03/01/2007
Last updated
10/12/2010
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