Organization
MILL CREEK EYE CARE LTD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD PRCHAL MD (OWNER)
(708) 710-5608
Entity
Organization
Contact information
Practice address
8713 FLINT LN, ORLAND PARK, IL 60462-1490
(708) 710-5608
Mailing address
PO BOX 451, WORTH, IL 60482-0451
(708) 710-5608
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0460081190
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008190
—
IL
Enumeration date
11/09/2007
Last updated
04/16/2010
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