Organization
MICHAEL MENCONI, OD. PC.
Active
Other names
Eyecare Center of Sandwich
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WILLIAM MENCONI O.D. (PRESIDENT)
(630) 608-8287
Entity
Organization
Contact information
Practice address
1112 E RAILROAD ST, STE 1, SANDWICH, IL 60548-1894
(630) 786-2020
(630) 786-6306
Mailing address
1112 E RAILROAD ST, STE 1, SANDWICH, IL 60548-1894
(630) 786-2020
(630) 786-6306
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010227
IL
Other
Enumeration date
12/05/2010
Last updated
06/09/2011
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