Organization
EDWARD L MONTWILL OD, LTD.
Active
Other names
Palos Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD L MONTWILL O.D. (PRESIDENT)
(708) 361-5236
Entity
Organization
Contact information
Practice address
11749 SOUTHWEST HWY # C, PALOS HEIGHTS, IL 60463-1053
(708) 361-5236
(708) 361-5489
Mailing address
11749 SOUTHWEST HWY # C, PALOS HEIGHTS, IL 60463-1053
(708) 361-5236
(708) 361-5489
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.008324
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
948820
PTAN
IL
Enumeration date
02/09/2012
Last updated
02/09/2012
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