Glen Ellyn Family Eye Care Associates Ltd
Optometrist in Glen Ellyn, IL. Organization (NPI-2).
NPI number1295958643
StatusActive
Last updated in NPPESDec 21, 2009
Details
- NPI
- 1295958643
- Entity type
- Organization (NPI-2)
- Legal business name
- Glen Ellyn Family Eye Care Associates Ltd
- Organization subpart
- No
- Enumeration date
- Apr 11, 2007
- Last updated
- Dec 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 060005507 | IL | Yes |
Practice location
510 N Main StGlen Ellyn, IL 60137-5104
Phone 630-858-3937
Mailing address
510 N Main StGlen Ellyn, IL 60137-5104
Phone 630-858-3937
Authorized official
Sylvia Ann Bartlett
Secretary
6308583937
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- Mila Malhotra, O.D.NPI 1669785507
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All 18 Optometrist providers in Glen Ellyn · All 942 providers in Glen Ellyn
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