Organization
MA OPTICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA SHEPELENKO (MANAGER)
(773) 993-0279
Entity
Organization
Contact information
Practice address
7421 N MILWAUKEE AVE, NILES, IL 60714-3707
(773) 631-2980
(773) 389-7211
Mailing address
7421 N MILWAUKEE AVE, NILES, IL 60714-3707
(773) 993-0279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
04/24/2023
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