Individual
MR. GEORGE K WIEGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
224 E WESTMINSTER RD, LAKE FOREST, IL 60045-1840
(847) 295-3290
(847) 295-3291
Mailing address
224 E WESTMINSTER RD, LAKE FOREST, IL 60045-1840
(847) 295-3290
(847) 295-3291
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/09/2007
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