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Contact Information

ADVANCED EYECARE GROUP PC
7011 NORTH AVE
OAK PARK, IL60302-1001
 Phone: 708-848-3900
 Fax: 708-848-3997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANCED EYECARE GROUP PC · (Female)

NPI Number 1164464509
Status Active
Credentials
Entity Individual
Enumeration date 06/11/2006
Last updated 11/06/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Other 0001616047 BLUE CROSS BLUE SHIELD
  • IL Other P00173468 RAILROAD MEDICARE
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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