Individual
DR. IRENA A LESEIKO-OWERKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2308 W CHICAGO AVENUE, UNIT 1, CHICAGO, IL 60622-4722
(773) 486-2147
(773) 486-4486
Mailing address
2308 W CHICAGO AVENUE, UNIT 1, CHICAGO, IL 60622-4722
(773) 486-2147
(773) 486-4486
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007930
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007930
—
IL
Enumeration date
08/04/2006
Last updated
08/29/2008
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