Organization
JOSHUA L. KORSGARDEN, O.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA L KORSGARDEN O.D. (PRESIDENT/OPTOMETRIST)
(630) 650-2041
Entity
Organization
Contact information
Practice address
472 N STATE ROUTE 47, SUITE E, SUGAR GROVE, IL 60554
(630) 466-4646
(630) 466-4848
Mailing address
139A GILLETT ST, SUGAR GROVE, IL 60554-9323
(630) 650-2041
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009658
IL
Other
Enumeration date
08/30/2006
Last updated
04/12/2010
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