Individual
IRVE DENENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1020 11TH AVE, GREAT LAKES, IL 60088-3102
(847) 688-7757
Mailing address
2074 MADISON AVE, GURNEE, IL 60031-6301
(847) 688-5575
Taxonomy
Speciality
Code
Description
License number
State
152WX0102X
Occupational Vision Optometrist
Primary
2794
WI
Other
Enumeration date
01/20/2006
Last updated
04/30/2014
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