Provider Demographics
NPI:1386800316
Name:QUALITY EYE CARE CLINIC LTD
Entity type:Organization
Organization Name:QUALITY EYE CARE CLINIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJALI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:708-692-6174
Mailing Address - Street 1:502 WAVERLY DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-4082
Mailing Address - Country:US
Mailing Address - Phone:708-692-6174
Mailing Address - Fax:
Practice Address - Street 1:502 WAVERLY DRIVE
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-1392
Practice Address - Country:US
Practice Address - Phone:847-697-7771
Practice Address - Fax:847-393-8153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046-009959152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty