Organization · Type 2 NPI

Illinois College of Optometry

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1982082087 Active

Practice location

3241 S Michigan Ave
Chicago, IL 60616-4201

Mailing address

2818 N Kildare Ave
Chicago, IL 60641-5341

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982082087

Illinois College of Optometry's National Provider Identifier is 1982082087, issued on May 11, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on May 11, 2015.