Individual
MS. IRENE M WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
618 S ROUTE 59, SUITE 118 (IDOCS OF NAPERVILLE INSIDE FOR EYES), NAPERVILLE, IL 60540-0937
(630) 355-1269
(630) 355-1295
Mailing address
618 S ROUTE 59, SUITE 118 (IDOCS OF NAPERVILLE INSIDE FOR EYES), NAPERVILLE, IL 60540-0937
(630) 355-1269
(630) 355-1295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007701
IL
Other
Enumeration date
04/19/2007
Last updated
05/12/2015
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