Individual
MIKLOS BALOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
279 W 80TH PL, MERRILLVILLE, IN 46410-5491
(219) 738-2180
(219) 738-2847
Mailing address
1123 STOMMEL PL, UNIT #2, DYER, IN 46311-1658
(773) 297-7602
(773) 685-1607
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046-008297
IL
152W00000X
Optometrist
Primary
18003388A
IN
Other
Enumeration date
11/09/2006
Last updated
04/07/2022
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