Crystal Vision Center in Chicago - Clinic/center
Crystal Vision Center - NPI 1508925686
Crystal Vision Center is a Clinic/center in Chicago, Illinois. Crystal Vision Center practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Crystal Vision Center is 1508925686. The last update date is 2008-03-17.
Crystal Vision Center's current location address is 10719 S Western Ave, Chicago, Illinois. You can contact this provider via phone number 7734454200. The mailing address for Crystal Vision Center is 10719 S Western Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crystal Vision Center |
|---|---|
| Address | 10719 S Western Ave, Chicago, Illinois |
| Phone Number | 7734454200 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shermulis A John |
| Credentials | O.D. |
| Telephone Number | 7734454200 |
NPI Number Detail
| NPI Number | 1508925686 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2008-03-17 |
Provider Mailing Address Detail
| Address | 10719 S Western Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606433135 |
| Phone Number | 7734454200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Post Comment/ Review Below
What is the unique identifier code issued to Crystal Vision Center by the Centers for Medicare & Medicaid Services (CMS)?
The Crystal Vision Center has been assigned the NPI (National Provider Identifier) 1508925686. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Crystal Vision Center?
The Crystal Vision Center is situated at 10719 S Western Ave, in the city of Chicago, state of IL, with the zip code 606433135.
What is Crystal Vision Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Crystal Vision Center's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508925686 to Crystal Vision Center?
The Centers for Medicare & Medicaid Services assigned the 1508925686 to Crystal Vision Center on 2006-12-06.
When was the information regarding Crystal Vision Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Crystal Vision Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-17.
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