Individual
DR. EMILY R KONCZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9500 S WESTERN AVE STE G3A, EVERGREEN PARK, IL 60805-2868
(708) 425-5285
Mailing address
9500 S WESTERN AVE STE G3A, EVERGREEN PARK, IL 60805-2868
(708) 425-5285
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010175
IL
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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