Individual
DR. RANDALL D BURGGRAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 S 3RD ST, SUITE 105, GENEVA, IL 60134-2762
(630) 232-7800
(630) 232-7819
Mailing address
500 S 3RD ST, SUITE 105, GENEVA, IL 60134-2762
(630) 232-7800
(630) 232-7819
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-006713
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046006713
—
IL
Enumeration date
12/04/2006
Last updated
01/15/2013
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