Provider Demographics
NPI:1932434362
Name:COUNT, KEVIN J (ABOC)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:J
Last Name:COUNT
Suffix:
Gender:M
Credentials:ABOC
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Mailing Address - Street 1:1005 HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2935
Mailing Address - Country:US
Mailing Address - Phone:847-998-4737
Mailing Address - Fax:847-998-4760
Practice Address - Street 1:1005 HARLEM AVE
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2935
Practice Address - Country:US
Practice Address - Phone:847-998-4737
Practice Address - Fax:847-998-4760
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician