Individual
DEBORAH L KLESKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1415 PALATINE RD, HOFFMAN ESTATES, IL 60195-1196
(847) 776-8900
(847) 776-8922
Mailing address
1415 PALATINE RD, HOFFMAN ESTATES, IL 60195-1196
(847) 776-8900
(847) 776-8922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008402
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046008402
LICENSED OPTOMETRIST
IL
01
—
346002263
CONTROLLED SUBSTANCE
IL
01
—
IL1228
EYEMED
IL
Enumeration date
05/03/2007
Last updated
05/10/2022
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