Organization
BLOOMINGDALE OPTICAL,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES B GUSTAVESON (PRESIDENT)
(630) 980-4446
Entity
Organization
Contact information
Practice address
152 S BLOOMINGDALE RD STE 102, BLOOMINGDALE, IL 60108-1495
(630) 980-4446
(630) 980-2313
Mailing address
152 S BLOOMINGDALE RD STE 102, BLOOMINGDALE, IL 60108-1495
(630) 980-4446
(630) 980-2313
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
IL
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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