Antioch Eye Associates Od PC

NPI #1033385141 in Antioch, Illinois

Provider Information

NPI Number: 1033385141
Entity Type: Organization
Organization Name: Antioch Eye Associates Od PC
Primary Specialty: Optometrist
Enumeration Date: May 8, 2008
Last Updated: Dec 15, 2011

Practice Location

Address: 884 HILLSIDE AVE
City: Antioch
State: Illinois
ZIP Code: 60002-1226
Phone: (847) 395-4090

Authorized Official

Name: DR. CONNIE J CRAWFROD, O.D.
Title: OWNER
Phone: (847) 395-4090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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