Organization
LORENZANA, SC
Active
Other names
Advanced Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGRYD LORENZANA OD (PRESIDENT)
(630) 837-3939
Entity
Organization
Contact information
Practice address
2 EXECUTIVE CT STE 3, SOUTH BARRINGTON, IL 60010-9507
(847) 891-8003
(847) 891-8045
Mailing address
19 E SCHAUMBURG RD, SCHAUMBURG, IL 60194-3503
(847) 891-8003
(847) 891-8045
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
046008743
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008743
—
IL
Enumeration date
02/04/2008
Last updated
01/17/2023
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