Organization
DRS. GANDOLFI & SWAFFORD L.L.C.
Active
Other names
My Eye Doc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT GANDOLFI O.D. (MEMBER)
(847) 856-3939
Entity
Organization
Contact information
Practice address
1475 DILLEYS ROAD, STE 4, GURNEE, IL 60031-1706
(847) 856-3939
(847) 855-8821
Mailing address
1475 DILLEYS ROAD, STE 4, GURNEE, IL 60031-1706
(847) 856-3939
(847) 855-8821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
049007799
IL
Other
Enumeration date
01/24/2007
Last updated
09/23/2010
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