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Contact Information

ADVANCED FAMILY EYECARE
15722 S ROUTE 59
BUILDING 140 SUITE B
PLAINFIELD, IL60544-2795
 Phone: 815-254-2546
 Fax: 815-254-2566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANCED FAMILY EYECARE · (Female)

NPI # 1346338068
Status Active
Credentials
Entity Individual
Enumeration date 10/10/2006
Last updated 06/17/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 046-008289
  • IL Other 9932276 BLUE CROSS BLUE SHIELD 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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