Individual
DR. BRENT GANDOLFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1475 N DILLEYS RD STE 4, GURNEE, IL 60031-1709
(847) 856-3939
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007799
IL
Other
Enumeration date
01/23/2007
Last updated
04/02/2021
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