Scott B. Ford, Ltd

NPI #1154807428 in Niles, Illinois

Provider Information

NPI Number: 1154807428
Entity Type: Organization
Organization Name: Scott B. Ford, Ltd
Primary Specialty: Optometrist
Enumeration Date: Jul 19, 2018
Last Updated: Jul 19, 2018

Practice Location

Address: 5630 W TOUHY AVE
City: Niles
State: Illinois
ZIP Code: 60714-4001
Phone: (847) 647-8970

Authorized Official

Name: DR. SCOTT B FORD
Title: PRESIDENT
Phone: (847) 772-1904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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