Individual
ANTONIA MOURELATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
950 W. RT. 22, LOSSMAN EYE CARE, LAKE ZURICH, IL 60047-1031
(847) 726-2020
(630) 629-7640
Mailing address
918 HUNTINGTON DR, ELK GROVE VILLAGE, IL 60007-7232
(630) 629-2026
(630) 629-7640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009382
IL
Other
Enumeration date
01/09/2007
Last updated
11/21/2007
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