Individual
DR. AUTUMN BLAIRE M DURIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
102 STRATFORD SQUARE MALL, BLOOMINGDALE, IL 60108-2202
(630) 893-7688
(630) 893-0420
Mailing address
3001 S MICHIGAN AVE, UNIT 308, CHICAGO, IL 60616-3261
(630) 400-7305
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000000000
IL
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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