Organization
WEST END VISION, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY M JOHN OD (PRESIDENT)
(708) 482-3200
Entity
Organization
Contact information
Practice address
715 W HILLGROVE AVE, LA GRANGE, IL 60525-5964
(708) 482-3200
(708) 482-3288
Mailing address
715 W HILLGROVE AVE, LA GRANGE, IL 60525-5964
(708) 482-3200
(708) 482-3288
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891788212
NPI
IL
Enumeration date
12/13/2021
Last updated
04/19/2022
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