Organization · Type 2 NPI

Thaddeus

Eyewear Supplier · Chicago, IL

NPI number 1336331909 Active

Practice location

4812 N. Milwaukee
Chicago, IL 60646

Call (773) 545-2660 Map

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000XNone listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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About NPI 1336331909

Thaddeus's National Provider Identifier is 1336331909, issued on Aug 16, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 4, 2007.