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General NPI Number Information
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NPI Number | 1437513041
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Entity Type | Organization
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Legal Business Name | ZEIFERT EYE CARE, LTD
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Dates
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Enumeration Date | 04/09/2016
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 1849 GREEN BAY RD SUITE 165
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-3151
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Country | US
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Telephone | 224-252-0204
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Fax |
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Provider Business Mailing Address
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Address Line | 1849 GREEN BAY RD SUITE 165
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-3151
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Country | US
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Telephone | 224-252-0204
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTINE MARTINSON ZEIFERT
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Credential | OD
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Telephone | 224-252-0204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046010328
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License Number State | IL
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