Organization
DRS. LEAHY & DISALVO-OST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET E. PAWELSKI (MANAGER)
(708) 425-6500
Entity
Organization
Contact information
Practice address
4445 W 95TH ST, OAK LAWN, IL 60453-7219
(708) 425-6500
(708) 425-1455
Mailing address
4445 W 95TH ST, OAK LAWN, IL 60453-7219
(708) 425-6500
(708) 425-1455
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
060.003768
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN3870
RR MEDICARE
IL
Enumeration date
01/30/2007
Last updated
08/17/2018
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