La Vallee, Keith

La Vallee, Keith is an individual health care provider with primary practice located at 2111 W Superior St , Chicago IL 60612-1315. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. La Vallee, Keith can be contacted via phone (312) 226-1020.

Contact Information

Primary practice address
2111 W Superior St Chicago IL 60612-1315
Phone: (312) 226-1020
Fax: (312) 226-0802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Illinois

Profile Details

NPI number 1023080553
LBN Legal business name La Vallee, Keith
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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