Individual
DR. MAGDALENA LUCIA BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1402 BUTTERFIELD RD, DOWNERS GROVE, IL 60515-1031
(630) 424-0613
Mailing address
3446 N SEMINARY AVE, #2, CHICAGO, IL 60657-1533
(773) 343-0212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010340
IL
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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