SearchIllinois152W00000X

Eugene Ertman, O.D

NPI 1750390860 · on the registry since 2006

Practice

Address
4650 W North Ave
Optometrist'S Office
Chicago, IL 60639
Phone
(773) 252-8152
Fax
(773) 252-8278
Organisation at this address
Walmart Inc.
Ertman Eye Group, Ltd
Wal-Mart Stores, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois