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Organization

EYES ON THE LAKE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM R NAJEM O.D. (VICE PRESIDENT)
(847) 853-1111
Entity
Organization

Contact information

Practice address
420 GREEN BAY RD, KENILWORTH, IL 60043-1075
(847) 853-1111
Mailing address
420 GREEN BAY RD., KENILWORTH, IL 60043-1075
(847) 853-1111

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-08599
IL
152W00000X
Optometrist
046-09022
IL

Other

Enumeration date
08/22/2006
Last updated
08/22/2020
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