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Individual

DR. NICHOLAS ANTHONY CHIARAMONTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6233 CERMAK RD, BERWYN, IL 60402-2317
(708) 749-2020
(708) 749-2069
Mailing address
1067 S FAIRVIEW AVE, LOMBARD, IL 60148-4035
(630) 546-8319
(708) 749-2068

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008520
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046008520
IL
Enumeration date
02/06/2006
Last updated
09/11/2009
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