Organization
SHEADE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SHEADE (OPTOMETRIST)
(847) 436-4223
Entity
Organization
Contact information
Practice address
1005 HARLEM AVE, GLENVIEW, IL 60025-2935
(847) 998-4737
Mailing address
2640 GREENWOOD AVE, HIGHLAND PARK, IL 60035-1354
(847) 436-4223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010431
IL
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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