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General NPI Number Information
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NPI Number | 1881834836
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Entity Type | Organization
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Legal Business Name | SOLO EYE CARE UNIVERSITY VILLAGE LLC
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Dates
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Enumeration Date | 03/04/2009
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1306 S HALSTED ST
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City | CHICAGO
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State | IL
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Zip | 60607-5022
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Country | US
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Telephone | 312-455-1306
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Fax | 312-455-1310
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Provider Business Mailing Address
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Address Line | 3460 S HALSTED ST
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City | CHICAGO
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State | IL
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Zip | 60608-6743
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Country | US
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Telephone | 312-225-5135
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Fax | 312-225-5309
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Authorized Official
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Title or Position | ADMIN
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Name | LAUREN SULLIVAN
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Credential |
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Telephone | 312-588-5999
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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 | 0460009895
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License Number State | IL
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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 | 046009995
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License Number State | IL
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