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2183 N Il Route 83, Round Lake Beach, IL 60073-4906 | |
(847) 223-2020 | |
(847) 223-0020 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 2183 N Il Route 83, Round Lake Beach, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1114167541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 046.006829 (Illinois) | Primary |
Mailing Address | Practice Location Address |
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1914 E Grand Ave, Lindenhurst, IL 60046-7822 Ph: (847) 356-2020 | 2183 N Il Route 83, Round Lake Beach, IL 60073-4906 Ph: (847) 223-2020 |