Organization
KIRK P PAVLETIC OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK PATRICK PAVLETIC O.D. (PRESIDENT)
(708) 403-7711
Entity
Organization
Contact information
Practice address
10739 W 159TH ST, ORLAND PARK, IL 60467-4531
(708) 403-7711
Mailing address
10739 W 159TH ST, ORLAND PARK, IL 60467-4531
(708) 403-7711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-007849
IL
Other
Enumeration date
12/12/2011
Last updated
09/24/2012
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