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American Crystal Optical
Clinic/Center in Chicago, Illinois
NPI 1447400676

American Crystal Optical is a Clinic/Center based in Chicago, IL. American Crystal Optical practices in Chicago, IL. The NPI Number for American Crystal Optical is 1447400676 and holds a License No. 261Q00000X (Illinois).

The current practice location address for American Crystal Optical is 3752 W Fullerton Ave, Chicago, IL and can be reached out via phone at 773-252-5025 and via fax at 773-252-6425.

Location: 3752 W Fullerton Ave, Chicago, IL, 60647-2331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447400676
Provider Name
American Crystal Optical
Credential
Provider Entity Type
Organization
Address
3752 W Fullerton Ave, Chicago, IL, 60647-2331
Phone Number
773-252-5025
Fax Number
773-252-6425
Provider Enumeration Date
09/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3752 W Fullerton Ave
City
Chicago
State
Illinois
Zip
60647-2331
Phone Number
773-252-5025
Fax Number
773-252-6425
person
Provider Business Mailing Address Details
Address
3752 W Fullerton Ave
City
Chicago
State
Illinois
Zip
60647-2331
Phone Number
773-252-5025
Fax Number
773-252-6425
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
261Q00000X (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).
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