Organization
DR. RICHARD SUROWIAK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J SUROWIAK O.D. (PRESIDENT)
(815) 459-4074
Entity
Organization
Contact information
Practice address
6219 NORTHWEST HWY, CRYSTAL LAKE, IL 60014-7932
(815) 459-4017
Mailing address
6219 NORTHWEST HWY, CRYSTAL LAKE, IL 60014-7932
(815) 459-4017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008545
IL
Other
Enumeration date
02/18/2011
Last updated
03/26/2013
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