Individual
MALGORZATA MAGDALENA RICCARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 LAKE ST STE 180, OAK PARK, IL 60301-1028
(708) 383-7240
Mailing address
6233 CERMAK RD, BERWYN, IL 60402-2317
(708) 749-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011383
IL
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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