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Individual

DR. DIANE MARIE LIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
801 MEACHAM RD, ELK GROVE VILLAGE, IL 60007-3073
(847) 584-7090
(847) 584-7092
Mailing address
1904 MIDWEST CLUB PKWY, OAK BROOK, IL 60523-2525
(630) 323-8111
(630) 323-8171

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IL

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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