| |
926 W Army Trail Rd, Carol Stream, IL 60188-9068 | |
(630) 372-9501 | |
(630) 372-9741 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 926 W Army Trail Rd, Carol Stream, 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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1912766023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | 926 W Army Trail Rd, Carol Stream, IL 60188-9068 Ph: (630) 372-9501 |
Dr. Nicole Ethridge, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1076 Regency Ln, Carol Stream, IL 60188 Phone: 630-291-2452 |