Organization
DEVELOPMENTAL VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHULA LERDVORATAVEE O.D. (PRESIDENT)
(630) 844-0908
Entity
Organization
Contact information
Practice address
2075 WIESBROOK RD, OSWEGO, IL 60543-8312
(630) 844-0908
(630) 844-0677
Mailing address
2075 WIESBROOK RD, OSWEGO, IL 60543-8312
(630) 844-0908
(630) 844-0677
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
046007841
IL
Other
Enumeration date
11/03/2008
Last updated
07/14/2022
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