MEDICARE: IDEAL FAMILY EYE CARE LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist		IL

General Provider Information

NPI Number	:	1538242136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IDEAL FAMILY EYE CARE LTD

Provider Business Mailing Address
First Line	:	5526 N MILWAUKEE AVE
Second Line	:	UNIT B
City	:	CHICAGO
State	:	IL
Zip	:	60630-1227
Country	:	US
Telephone Number	:	773-774-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	5526 N MILWAUKEE AVE
Second Line	:	UNIT B
City	:	CHICAGO
State	:	IL
Zip	:	60630-1227
Country	:	US
Telephone Number	:	773-774-2200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SYLWIA DOMINIKA SZEWCZYK
Credential	:	O.D
Telephone Number	:	773-206-0130

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	01/03/2008

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Directions to “IDEAL FAMILY EYE CARE LTD ” Practice Location

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