GLEN ELLYN VISION CENTER PC

GLEN ELLYN, IL
NPI1588727663
Entity TypeOrganization
Authorized ContactMARTIN J SIKORSKI
President
630-469-4141
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046.006197)
Additional Taxonomies152WC0802X Optometrist Corneal and Contact Management
(Licence: IL  046.006197)
152WP0200X Optometrist Pediatrics
(Licence: IL  046.006197)
152WV0400X Optometrist Vision Therapy
(Licence: IL  046.006197)
Enumeration Date2006-12-19
Last Update Date2010-05-18
Business Address
GLEN ELLYN VISION CENTER PC
440 N MAIN ST
GLEN ELLYN, IL 60137-5124
Phone number: 630-469-4141
Mailing Address
GLEN ELLYN VISION CENTER PC
440 N MAIN ST
GLEN ELLYN, IL 60137-5124
Phone number: 630-469-4141