Organization
DEKALB EYE CONSULTANTS, LLC
Active
Other names
Lawrence Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE L NEAL (CHIEF EXECUTIVE OFFICER)
(469) 214-0144
Entity
Organization
Contact information
Practice address
3711 W LAWRENCE AVE, CHICAGO, IL 60625-5712
(773) 583-5727
(773) 583-7768
Mailing address
1630 GATEWAY DR, SYCAMORE, IL 60178-3182
(815) 756-8571
(815) 756-5603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
02/05/2020
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