Organization
ILLINOIS COLLEGE OF OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AROL AUGSBERGER O.D (PRESIDENT)
(312) 949-7000
Entity
Organization
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 949-7000
Mailing address
2818 N KILDARE AVE, CHICAGO, IL 60641-5341
(773) 517-7580
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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