Organization
VISION BOUTIQUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BAYGOOD (VICE PRESIDENT)
(312) 829-6800
Entity
Organization
Contact information
Practice address
948 W MADISON ST, CHICAGO, IL 60607-2741
(312) 829-6800
(312) 829-3945
Mailing address
948 W MADISON ST, CHICAGO, IL 60607-2741
(312) 829-6800
(312) 829-3945
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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