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General NPI Number Information
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NPI Number | 1720922180
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Entity Type | Organization
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Legal Business Name | ELMHURST EYE CARE
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 535 S SPRING RD
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City | ELMHURST
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State | IL
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Zip | 60126-3824
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Country | US
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Telephone | 773-350-7391
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Fax |
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Provider Business Mailing Address
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Address Line | 430 N ADDISON AVE
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City | ELMHURST
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State | IL
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Zip | 60126-2310
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Country | US
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Telephone | 773-350-7391
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARSHA MALOOLEY
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Credential | OD
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Telephone | 773-350-7391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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