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Individual

DR. YESENIA MAGALLANES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
6322 S ARCHER AVE, CHICAGO, IL 60638-2521
(773) 585-2022
(773) 585-2027
Mailing address
1350 W 18TH ST, CHICAGO, IL 60608-3148
(317) 254-6480
(317) 259-8609

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010844
IL

Other

Enumeration date
12/09/2014
Last updated
01/07/2020
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