Individual
ELIZABETH CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
52 S LA GRANGE RD, LA GRANGE, IL 60525-2429
(708) 469-7901
Mailing address
5236 W 107TH ST, OAK LAWN, IL 60453-6302
(708) 642-9903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011565
IL
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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