Organization
ICARE OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIER YANEZ (MEMBER)
(312) 316-0311
Entity
Organization
Contact information
Practice address
1902 W CERMAK RD, CHICAGO, IL 60608-4204
(312) 316-0311
Mailing address
1902 W CERMAK RD, CHICAGO, IL 60608-4204
(312) 316-0311
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
Primary
—
IL
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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