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Individual

DR. JOHN ANTHONY LOESCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
25 S VILLA AVE, VILLA PARK, IL 60181-2650
(630) 832-6783
Mailing address
215 S VILLA AVE, 3, VILLA PARK, IL 60181-2687
(630) 833-6214

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008334
IL

Other

Enumeration date
10/27/2006
Last updated
03/11/2010
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