Organization
PATRICIA M MOSER OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA M. MOSER O.D. (OWNER)
708034302099
Entity
Organization
Contact information
Practice address
122-24 BROADVIEW VILLAGE SQUARE, BROADVIEW, IL 60155
(708) 343-2099
(708) 343-2081
Mailing address
704 KRISTIN CT, WESTMONT, IL 60559-3330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008530
IL
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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