Individual
DR. BRUCE IRA GAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8300 KNOX AVE, SKOKIE, IL 60076-2669
(847) 673-2255
Mailing address
8300 KNOX AVE, SKOKIE, IL 60076-2669
(847) 673-2255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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