Illinieye INC
NPI #1114305943 in Mt Prospect, Illinois
Provider Information
- NPI Number
- 1114305943
- Entity Type
- Organization
- Organization Name
- Illinieye INC
- Primary Specialty
- Optometrist
- Enumeration Date
- May 13, 2015
- Last Updated
- May 13, 2015
Practice Location
- Address
- 1119 MOUNT PROSPECT PLZ
- City
- Mt Prospect
- State
- Illinois
- ZIP Code
- 60056-2653
- Phone
- (847) 394-2255
Authorized Official
- Name
- DR. YEVGENY GRINMAN, O.D.
- Title
- OPTOMETRIST
- Phone
- (847) 394-2255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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