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1508292665
PREMIUM EYECARE, LTD.
CHICAGO, IL
NPI
1508292665
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Entity Type
Organization
Authorized Contact
JIRASAN SAKULSOM
President
636-675-9167
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046010489)
Enumeration Date
2013-09-20
Last Update Date
2013-09-20
Business Address
PREMIUM EYECARE, LTD.
215 W 23RD ST
CHICAGO, IL 60616-1903
Phone number: 312-225-3188
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Mailing Address
PREMIUM EYECARE, LTD.
2025 S INDIANA AVE APT 202
CHICAGO, IL 60616-4926
Phone number:
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