Organization
PROFESSIONAL EYE CARE
Active
Other names
S JAIRAM OPTOMETRIST LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS JAIRAM OD (OWNER)
(630) 427-1000
Entity
Organization
Contact information
Practice address
2017 75TH ST, WOODRIDGE, IL 60517-2308
(630) 427-1000
(630) 427-1280
Mailing address
2017 75TH ST, WOODRIDGE, IL 60517-2308
(630) 427-1000
(630) 427-1280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
047.106798
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046006798
—
IL
Enumeration date
10/02/2008
Last updated
11/20/2008
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