Illinois College of Optometry

NPI #1982082087 in Chicago, Illinois

Provider Information

NPI Number: 1982082087
Entity Type: Organization
Organization Name: Illinois College of Optometry
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 11, 2015
Last Updated: May 11, 2015

Practice Location

Address: 3241 S MICHIGAN AVE
City: Chicago
State: Illinois
ZIP Code: 60616-4201
Phone: (312) 949-7000

Authorized Official

Name: DR. AROL AUGSBERGER, O.D
Title: PRESIDENT
Phone: (312) 949-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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