Individual
MICHELLE L SANTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2422 ROUTE 34, OSWEGO, IL 60543-8520
(630) 551-4133
(630) 551-3794
Mailing address
175 E HOUSTON ST, SAN ANTONIO, TX 78205-2255
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010076
IL
Other
Enumeration date
08/27/2008
Last updated
03/24/2017
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