Individual
DR. EUGENE PAUL ERTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4650 W NORTH AVE, OPTOMETRIST'S OFFICE, CHICAGO, IL 60639-4611
(773) 252-8152
(773) 252-8278
Mailing address
7314 N KILDARE AVE, LINCOLNWOOD, IL 60712-1918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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