Individual
DR. THOMAS F STAZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4760 MAIN ST, LISLE, IL 60532-1724
(630) 969-2020
(630) 969-1415
Mailing address
4760 MAIN ST, LISLE, IL 60532-1724
(630) 969-2020
(630) 969-1415
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
046006376
IL
Other
Enumeration date
06/28/2006
Last updated
02/20/2008
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