Organization
CARILLON VISION CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME AGREST OD (PARTNER OWNER)
(847) 657-8787
Entity
Organization
Contact information
Practice address
1900 WAUKEGAN RD, GLENVIEW, IL 60025-1714
(847) 657-8787
(847) 657-8730
Mailing address
1900 WAUKEGAN ROAD, GLENVIEW, IL 60025-1714
(847) 657-8787
(847) 657-8730
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
464927
IL
152W00000X
Optometrist
467979
IL
332H00000X
Eyewear Supplier
Primary
0718540001
IL
Other
Enumeration date
03/22/2007
Last updated
03/26/2009
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