Individual
DR. LORETTA L DE KOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2500 N. HARLEM AVE, ELMWOOD PARK, IL 60707-2020
(708) 456-4362
(708) 456-5161
Mailing address
2500 N. HARLEM AVE, ELMWOOD PARK, IL 60707-2020
(708) 456-4362
(708) 456-5161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.008683
IL
152W00000X
Optometrist
046008683
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621057
BLUE CROSS BLUE SHIELD
IL
01
—
113869
EYE CARE PLAN OF AMERICA
IL
01
—
1316028723
LORETTA DE KOSTER NPI
IL
01
—
1992982169
NPI #1992982169 LORETTA DE KOSTER,O.D.,LTD. DBA MELROSE EYECARE CENTER
IL
01
—
6375
DAVIS VISION
IL
01
—
IL4407
MEDICARE PTAN
IL
Enumeration date
10/19/2006
Last updated
07/05/2018
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