Individual
DR. ELLEN RENEE PETROCZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
363 S RANDALL RD, ELGIN FAMILY EYE CARE, ELGIN, IL 60123-5526
(847) 888-1555
(847) 888-2508
Mailing address
178 LONGFORD DR, ELGIN, IL 60120-4688
(815) 291-7647
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.009976
IL
Other
Enumeration date
08/09/2007
Last updated
07/12/2013
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