Organization
PHC OF BUFFALO GROVE OPTOMETRY
Active
Other names
Portrait Health Centers of Buffalo Grove Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEXI SURBER OD (PRESIDENT)
(847) 868-3435
Entity
Organization
Contact information
Practice address
150 W HALF DAY RD, SUITE 105, BUFFALO GROVE, IL 60089-6591
(847) 868-3435
(847) 859-5855
Mailing address
150 W HALF DAY RD, SUITE 105, BUFFALO GROVE, IL 60089-6591
(847) 868-3435
(847) 859-5855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010327
IL
Other
Enumeration date
02/16/2011
Last updated
08/09/2011
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