Organization
NORTHWESTERN-ROSIN EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS A. CHIARAMONTI JR. O.D. (DIRECTOR OF PROFESSIONAL SERVICES)
(708) 749-2020
Entity
Organization
Contact information
Practice address
675 N SAINT CLAIR ST, 15-120, CHICAGO, IL 60611-5975
(312) 695-4100
Mailing address
6233 CERMAK RD, BERWYN, IL 60402-2317
(708) 749-2020
(708) 749-2069
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/06/2009
Last updated
08/29/2010
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