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Contact Information

EYES OF GRACE SC
9669 KENTON AVE STE 409
SKOKIE, IL60076-1267
 Phone: 847-933-0800
 Fax: 855-329-4224
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for EYES OF GRACE SC · (Female)

NPI Number 1043225535
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2006
Last updated 11/12/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Medicaid 036103366
  • IL Other 01633731 BS OF IL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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