Organization
EYEDOCTORS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MEDEMA (OD)
(847) 965-3791
Entity
Organization
Contact information
Practice address
9621 N MILWAUKEE AVE, NILES, IL 60714-1116
(847) 965-3791
(847) 965-3947
Mailing address
9621 N MILWAUKEE AVE, NILES, IL 60714-1116
(847) 965-3791
(847) 965-3947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008031
IL
Other
Enumeration date
09/12/2012
Last updated
09/18/2012
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