Organization
VISUALEYES
Active
Other names
chicago vision club
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO F MOSQUEDA O.D. (OPTOMETRIST)
(847) 869-2020
Entity
Organization
Contact information
Practice address
504 MAIN ST, EVANSTON, IL 60202-1815
(847) 869-2020
(847) 475-4236
Mailing address
504 MAIN ST, EVANSTON, IL 60202-1815
(847) 869-2020
(847) 475-4236
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008203
IL
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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