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Individual

DR. ELIZABETH GRACE DZIUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
373 N WOOD DALE RD, WOOD DALE, IL 60191-1531
(630) 422-1413
(630) 422-1454
Mailing address
373 N WOOD DALE RD, WOOD DALE, IL 60191-1531
(630) 422-1413
(630) 422-1454

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008878
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046008878
IL
Enumeration date
06/16/2006
Last updated
07/29/2015
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