Individual
YESENIA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1735 KINGSTON CIR, CARPENTERSVILLE, IL 60110-2403
(224) 805-6242
Mailing address
1735 KINGSTON CIR, CARPENTERSVILLE, IL 60110-2403
(224) 800-2435
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
G62096088810
IL
Other
Enumeration date
02/05/2013
Last updated
02/20/2013
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