Individual
JENNY GEEVARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
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
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
346004069
IL
Other
Enumeration date
07/01/2014
Last updated
10/17/2019
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