Individual
MR. MAGDY MINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
1525C OGDEN AVE, DOWNERS GROVE, IL 60515
(630) 699-2180
Mailing address
1525C OGDEN AVE, DOWNERS GROVE, IL 60515
(630) 699-2180
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
171733
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171733
OPTICIANS LICENSE
IL
Enumeration date
08/28/2013
Last updated
08/28/2013
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