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Individual

DR. JEANIE C LUCY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515
(630) 743-4500
(630) 743-4537
Mailing address
555 31ST ST STE 306-P, DOWNERS GROVE, IL 60515-1235
(630) 960-3928

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008653
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046008653
IL
Enumeration date
01/04/2007
Last updated
05/29/2025
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