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Individual

DR. VICTOR F. VERBIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
121 E LOCUST ST, DEKALB, IL 60115-3207
(815) 756-6388
(815) 756-4861
Mailing address
121 E LOCUST ST, DEKALB, IL 60115-3207
(815) 756-6388
(815) 756-4861

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009478
IL
152WS0006X
Sports Vision Optometrist
046-009478
IL
152WX0102X
Occupational Vision Optometrist
046-009478
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046009478
IL
Enumeration date
05/10/2007
Last updated
09/08/2008
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