Organization
SPENCER EYE CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID SPENCER O.D. (OWNER)
(773) 237-4774
Entity
Organization
Contact information
Practice address
4949 W IRVING PARK RD, SUITE E, CHICAGO, IL 60641-2655
(773) 237-4774
(773) 202-9909
Mailing address
4949 W IRVING PARK RD, SUITE E, CHICAGO, IL 60641-2655
(773) 237-4774
(773) 202-9909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.008177
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008177
—
IL
Enumeration date
04/24/2008
Last updated
04/24/2008
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