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Individual

DO J PAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3333 W TOUHY AVE, LINCOLNWOOD TOWN CTR, LINCOLNWOOD, IL 60712-2721
(847) 675-8637
Mailing address
3001 S MICHIGAN AVE, APT 308, CHICAGO, IL 60616-3261
(312) 622-8968

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010380
IL

Other

Enumeration date
07/19/2010
Last updated
07/19/2010
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