Mario Lawrence Palermo O.D.

NPI 1104806348 - Optometrist - 152W00000X

NPI Details
NPI 1104806348
Gender Male
Enumeration Date 01/20/2006
Last Updated 01/29/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
18 S EVERGREEN AVE
ARLINGTON HEIGHTS IL, 60005-1428, US
Phone (847) 253-8500
Fax (847) 253-8538
Business Location
18 S EVERGREEN AVE
ARLINGTON HEIGHTS IL, 60005-1428, US
Phone (847) 253-8500
Fax (847) 253-8538
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046007444
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According to our database, Dr. Mario Lawrence Palermo O.D. NPI is 1104806348, taxonomy code is 152W00000X and license number is 046007444, license state is located at Illinois. Mario Lawrence Palermo O.D. physically located at 18 S Evergreen Ave, Arlington Heights IL, 60005-1428. NPI Number Mario Lawrence Palermo O.D. has the Individual type.

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1104806348 NPI number is provided on an as is basis without warranty of any kind. 1104806348 is maintained by the National Plan & Provider Enumeration System. The contents of Mario Lawrence Palermo O.D. are for informational purposes only.