Organization
THADDEUS, LTD
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER PAUL VIDULICH O.D. (OWNER DOCTOR)
(773) 327-3000
Entity
Organization
Contact information
Practice address
4017 N MILWAUKEE AVE, CHICAGO, IL 60641-1834
(773) 545-2660
(773) 327-3015
Mailing address
4017 N MILWAUKEE AVE, CHICAGO, IL 60641-1834
(773) 545-2660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
060-0005772
IL
Other
Enumeration date
07/06/2006
Last updated
11/12/2009
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