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Individual

RICHARD JOSEPH SUROWIAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6314 NORTHWEST HWY, CRYSTAL LAKE, IL 60014-7935
(815) 459-4074
Mailing address
1653 PINNACLE CT, AURORA, IL 60502-8655
(630) 747-3107

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008545
IL

Other

Enumeration date
01/19/2007
Last updated
07/08/2007
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