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1902170012
LINCOLN PARK EYES LLC
CHICAGO, IL
NPI
1902170012
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Entity Type
Organization
Authorized Contact
FREDERIC A BANSER
President
773-525-8700
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 03695646)
Enumeration Date
2012-03-07
Last Update Date
2012-03-07
Business Address
LINCOLN PARK EYES LLC
2842 N SHERIDAN RD
CHICAGO, IL 60657
Phone number: 773-525-8700
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Mailing Address
LINCOLN PARK EYES LLC
2842 N SHERIDAN RD
CHICAGO, IL 60657
Phone number: 773-525-8700
Copy
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