Organization
MARK TAKESUYE, OD, LLC
Active
Other names
Takesuye and Chikaraishi Optometry, James K Chikaraishi, OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK TAKESUYE OD (OPTOMETRIST)
(773) 588-4433
Entity
Organization
Contact information
Practice address
3232 W BRYN MAWR AVE, CHICAGO, IL 60659-3606
(773) 588-4433
Mailing address
3232 W BRYN MAWR AVE, CHICAGO, IL 60659-3606
(773) 588-4433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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