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Individual

DAVID THOMAS SPENGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1600 N STATE ROUTE 50, RM 580 NORTHFIELD SQUARE, BOURBONNAIS, IL 60914-9307
(815) 935-0404
(815) 935-0489
Mailing address
13241 VILLAGE CT, CRESTWOOD, IL 60445-1309
(708) 597-2577

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008563
IL

Other

Enumeration date
12/19/2006
Last updated
03/09/2010
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