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Organization

MARENGO VISION CENTER, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL THOMAS O.D. (PRESIDENT)
(815) 568-6508
Entity
Organization

Contact information

Practice address
3920 N JOHNSBURG RD, JOHNSBURG, IL 60051-6320
(815) 385-0002
Mailing address
3920 N JOHNSBURG RD, JOHNSBURG, IL 60051-6320
(815) 385-0002

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009334
IL

Other

Enumeration date
09/24/2012
Last updated
09/24/2012
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