Charles S Kefalas Odpc
Charles S Kefalas Odpc is an Optometrist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
4256 W 63rd StChicago, IL 60629-5037
Phone: (773) 582-0660
Fax: (773) 582-0859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 046008568 (IL) |
|---|
Record details
| NPI number | 1932288198 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Kefalas — President · (773) 582-0660 |
| NPI enumerated | November 6, 2006 |
| Last updated in NPPES | July 19, 2010 |
| Mailing address | 4256 W 63rd St, Chicago, IL 60629-5037 |
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