Individual
JEAN E. KESKITALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1112 W BOUGHTON RD, BOLINGBROOK, IL 60440-1508
(630) 378-2020
(630) 378-9771
Mailing address
1315 GREEN PHEASANT LN, BATAVIA, IL 60510-3081
(630) 879-6304
(630) 378-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-0007928
IL
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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