Individual
MICHAEL SOLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1147 WENONAH AVE, OAK PARK, IL 60304-1814
(708) 415-4520
Mailing address
1147 WENONAH AVE, OAK PARK, IL 60304-1814
(708) 415-4520
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007130
IL
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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