Individual
DR. JASPER J GULOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
835 E 162ND ST, SOUTH HOLLAND, IL 60473-2465
(708) 333-4444
(708) 333-4454
Mailing address
835 E 162ND ST, SOUTH HOLLAND, IL 60473-2465
(708) 333-4444
(708) 333-4454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-7183
IL
Other
Enumeration date
08/18/2005
Last updated
11/15/2007
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