Eyedoctors PC

NPI #1679823132 in Niles, Illinois

Provider Information

NPI Number: 1679823132
Entity Type: Organization
Organization Name: Eyedoctors PC
Primary Specialty: Optometrist
Enumeration Date: Sep 12, 2012
Last Updated: Sep 18, 2012

Practice Location

Address: 9621 N MILWAUKEE AVE
City: Niles
State: Illinois
ZIP Code: 60714-1116
Phone: (847) 965-3791

Authorized Official

Name: DR. DANIEL MEDEMA
Title: OD
Phone: (847) 965-3791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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