Annmarie Surdich-pitra Od Pc

NPI 1194055525 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1194055525
Enumeration Date 01/07/2010
Last Updated 09/16/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ANNMARIE ANNMARIE
Position OPTOMETRIST
Phone (630) 541-3169
Fax (630) 541-5140
Practice Location
1712 OGDEN AVE STE D
LISLE IL, 60532-1230, US
Phone (630) 541-3169
Fax (630) 541-5140
Business Location
1712 OGDEN AVE STE D
LISLE IL, 60532-1230, US
Phone (630) 541-3169
Fax (630) 541-5140
Toxanomy
Taxonomy Code 302R00000X
License State Illinois
License Number 047935871
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According to our database, Annmarie Surdich-pitra Od Pc NPI is 1194055525, taxonomy code is 302R00000X and license number is 047935871, license state is located at Illinois. Annmarie Surdich-pitra Od Pc physically located at 1712 Ogden Ave Ste D, Lisle IL, 60532-1230. NPI Number 1033115704 has the healthcare provider type.

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1194055525 NPI number is provided on an as is basis without warranty of any kind. 1194055525 is maintained by the National Plan & Provider Enumeration System. The contents of Annmarie Surdich-pitra Od Pc are for informational purposes only.