Organization
LEON J. KOSEK, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON J KOSEK JR. O.D. (OWNER)
(815) 469-8541
Entity
Organization
Contact information
Practice address
600 BANKVIEW DR, FRANKFORT, IL 60423-1489
(815) 469-8541
(815) 469-8126
Mailing address
600 BANKVIEW DR, FRANKFORT, IL 60423-1489
(815) 469-8541
(815) 469-8126
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007472
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09922174
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
03/28/2007
Last updated
12/31/2009
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