Organization
FOX VALLEY LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARYL J MARKS COE (EXECUTIVE DIRECTOR)
(630) 355-6222
Entity
Organization
Contact information
Practice address
1960 SPRINGBROOK SQUARE DR STE 110, NAPERVILLE, IL 60564-5959
(630) 355-6222
(630) 355-6219
Mailing address
1960 SPRINGBROOK SQUARE DR STE 110, NAPERVILLE, IL 60564-5959
(630) 355-6222
(630) 355-6219
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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