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Individual

MARTHA T KOCHNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3128 PLAINFIELD RD, LOUIS JOLIET MALL, JOLIET, IL 60435-1194
(815) 439-3064
Mailing address
5517 LAKESIDE DR, APT #2E, LISLE, IL 60532-2510
(630) 605-4797

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IL

Other

Enumeration date
12/20/2006
Last updated
07/08/2007
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