Individual
BEVERLY WOLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCO
Contact information
Practice address
6800 S. MAIN STREET, SUITE LL5, DOWNERS GROVE, IL 60516
(630) 985-5008
Mailing address
573 CAMBRIDGE WAY, BOLINGBROOK, IL 60440-1047
(630) 914-4144
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
0631512
IL
Other
Enumeration date
03/06/2012
Last updated
09/01/2020
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