Crystal Vision Center
Crystal Vision Center provides Clinic/Center services in Chicago, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
10719 S Western AveChicago, IL 60643-3135 Not confirmed with CMS for 18 years — call before visiting
Phone: (773) 445-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1508925686 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Shermulis — President · (773) 445-4200 |
| NPI enumerated | December 6, 2006 |
| Last updated in NPPES | March 17, 2008 |
| Mailing address | 10719 S Western Ave, Chicago, IL 60643-3135 |
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