Individual
STACI WYNN DUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
185 MILWAUKEE AVE STE 135, LINCOLNSHIRE, IL 60069-3038
(847) 325-4440
(847) 325-4443
Mailing address
1620 W OAK KNOLL CIR, DAVIE, FL 33324-6411
(954) 540-2558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011065
IL
Other
Enumeration date
02/01/2007
Last updated
11/07/2017
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