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Organization

JUCKETT EYE CARE CENTER LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT SHEDD JUCKETT JR. OD (PRESIDENT)
(847) 384-2020
Entity
Organization

Contact information

Practice address
133 S NORTHWEST HWY, PARK RIDGE, IL 60068-4228
(847) 384-2020
(847) 823-2020
Mailing address
133 S NORTHWEST HWY, PARK RIDGE, IL 60068-4228
(847) 384-2020
(847) 823-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007733
IL

Other

Enumeration date
01/25/2012
Last updated
02/20/2013
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