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Organization

CENTRAL DUPAGE VISION CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ATHA HYDERI O.D. (OWNER)
(630) 668-2020
Entity
Organization

Contact information

Practice address
27W185 GENEVA RD, WINFIELD, IL 60190-2058
(630) 668-2020
(630) 668-0308
Mailing address
27W185 GENEVA RD, WINFIELD, IL 60190-2058
(630) 668-2020
(630) 668-0308

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009463
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046009463
IL
Enumeration date
01/18/2013
Last updated
07/03/2013
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