Individual
CLINTON ROGER PRESTWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
(630) 743-4839
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011377
IL
Other
Enumeration date
06/30/2017
Last updated
10/07/2019
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