Individual
DR. MARY G BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
400 W LAKE ST, ELMHURST, IL 60126-1511
(630) 940-6629
(888) 388-2329
Mailing address
400 W LAKE ST, ELMHURST, IL 60126-1511
(630) 940-6629
(888) 388-2329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010443
IL
Other
Enumeration date
06/29/2011
Last updated
04/05/2024
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