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Aea Optical Ventures Llc
Health Service Clinic/Center in Chicago, Illinois
NPI 1386121283

Aea Optical Ventures Llc is a Health Service Clinic/Center based in Chicago, IL and is specialized in Health Service. Aea Optical Ventures Llc practices in Chicago, IL. The NPI Number for Aea Optical Ventures Llc is 1386121283 and holds a License No. (Illinois).

The current practice location address for Aea Optical Ventures Llc is 4814 N Clark St Ste B, Chicago, IL and can be reached out via phone at 773-897-0800 and via fax at 773-897-0457.

Location: 4814 N Clark St Ste B, Chicago, IL, 60640-7767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386121283
Provider Name
Aea Optical Ventures Llc
Credential
Provider Entity Type
Organization
Address
4814 N Clark St Ste B, Chicago, IL, 60640-7767
Phone Number
773-897-0800
Fax Number
773-897-0457
Provider Enumeration Date
07/24/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4814 N Clark St Ste B
City
Chicago
State
Illinois
Zip
60640-7767
Phone Number
773-897-0800
Fax Number
773-897-0457
person
Provider Business Mailing Address Details
Address
4814 N Clark St Ste B
City
Chicago
State
Illinois
Zip
60640-7767
Phone Number
773-897-0800
Fax Number
773-897-0457
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Illinois)
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., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
(Illinois)
Definition
Definition to come...
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