CRYSTAL CLEAR EYE CARE CLINIC

SCHAUMBERG, IL
NPI1154552016
Entity TypeOrganization
Authorized ContactSHERRY L BAKOVICH
Office Manger
847-524-1700
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: IL  046007080)
Additional Taxonomies305R00000X Preferred Provider Organization
(Licence: IL  047935456)
Enumeration Date2009-07-27
Last Update Date2010-08-26
Business Address
CRYSTAL CLEAR EYE CARE CLINIC
1760 WISE
SCHAUMBERG, IL 60193
Phone number: 847-524-1700
Mailing Address
CRYSTAL CLEAR EYE CARE CLINIC
1760 WISE
SCHAUMBERG, IL 60193
Phone number: 847-524-1700