Jem Optical INC

NPI #1154465151 in Norridge, Illinois

Provider Information

NPI Number: 1154465151
Entity Type: Organization
Organization Name: Jem Optical INC
Primary Specialty: Optometrist
Enumeration Date: Feb 16, 2007
Last Updated: Jun 17, 2008

Practice Location

Address: 4259 N HARLEM AVE
City: Norridge
State: Illinois
ZIP Code: 60706-1212
Phone: (708) 457-2292

Authorized Official

Name: DR. ALEX MARSHALKOVICH, O.D.
Title: OPTOMETRIST
Phone: (708) 457-2292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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