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Individual

JEFF BRIAN FRANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3201 COMMERCE DRIVE, DEKALB, IL 60115
(815) 758-1039
(815) 756-1396
Mailing address
3201 COMMERCE DRIVE, DEKALB, IL 60115
(773) 636-5363
(815) 756-1396

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009566
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046009566
IL
Enumeration date
03/23/2006
Last updated
07/16/2025
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