NPI 1154552016

Crystal Clear Eye Care Clinic

Organisation Preferred Provider Organization Schaumberg, IL

Practice location

Address: 1760 Wise, Schaumberg, IL 60193
Phone: (847) 524-1700
Fax: (847) 524-1702

Authorised official

Name: Sherry L Bakovich
Title: Office Manger
Phone: (847) 524-1700

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 046007080 (IL)

Other Preferred Provider Organization providers in Illinois →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 047935456 (IL)

Registry record

NPI: 1154552016
Entity type: Organization
NPI issued: 27 Jul 2009
Record last updated: 26 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.