Organization
ANNMARIE SURDICH-PITRA OD PC
Active
Other names
Optometry & Eyewear Gallery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNMARIE SURDICH-PITRA OD (OPTOMETRIST)
(630) 541-3169
Entity
Organization
Contact information
Practice address
1712 OGDEN AVE STE D, LISLE, IL 60532-1230
(630) 541-3169
(630) 541-5140
Mailing address
1712 OGDEN AVE STE D, LISLE, IL 60532-1230
(630) 541-3169
(630) 541-5140
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
047935871
IL
Other
Enumeration date
01/07/2010
Last updated
09/16/2010
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