NPI 1013652320

Macy E Koepke, OD

Practitioner Optometrist Chicago, IL

Practice location

Address: 3241 S Michigan Ave STE 1, Chicago, IL 60616-3878
Phone: (312) 949-7047

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 046011640 (IL)

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Registry record

NPI: 1013652320
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2022
Record last updated: 14 Jul 2022

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.