Provider Demographics
NPI:1891104428
Name:ADAS FAMILY EYECARE INC
Entity Type:Organization
Organization Name:ADAS FAMILY EYECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-414-5999
Mailing Address - Street 1:2656 N ELSTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-2019
Mailing Address - Country:US
Mailing Address - Phone:773-862-0743
Mailing Address - Fax:773-862-0893
Practice Address - Street 1:2656 N ELSTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-2019
Practice Address - Country:US
Practice Address - Phone:773-862-0743
Practice Address - Fax:773-862-0893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046009914152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty