Organization
COMMUNITY EYE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIZA MARIA GHEORGHE -YOUSSEFI O.D. (PRESIDENT)
(312) 622-0709
Entity
Organization
Contact information
Practice address
2880 N MILWAUKEE AVE, CHICAGO, IL 60618-7413
(773) 486-7661
(773) 486-2821
Mailing address
1219 LAURA LN, WOODRIDGE, IL 60517-5063
(312) 622-0709
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009906
IL
Other
Enumeration date
04/13/2009
Last updated
08/04/2009
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