LAKESIDE EYE CLINIC INC

CHICAGO, IL
NPI1871794362
Entity TypeOrganization
Authorized ContactERNESTO CARRASCO
President
312-553-1818
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2007-05-30
Last Update Date2020-08-22
Business Address
LAKESIDE EYE CLINIC INC
104 S MICHIGAN AVE 410
CHICAGO, IL 60603-5902
Phone number: 312-553-1818
Mailing Address
LAKESIDE EYE CLINIC INC
104 S MICHIGAN AVE 410
CHICAGO, IL 60603-5902
Phone number: 312-553-1818
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