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Organization

WILLOW VISION HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KARINA FULTON OD (OPTOMETRIST)
(574) 213-2003
Entity
Organization

Contact information

Practice address
1439 W 103RD ST STE 3, CHICAGO, IL 60643-2900
(574) 213-2003
Mailing address
1439 W 103RD ST STE 3, CHICAGO, IL 60643-2900
(574) 213-2003

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
11/07/2022
Last updated
11/11/2022
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