Gustafson Eyecare INC

NPI #1013188374 in Oswego, Illinois

Provider Information

NPI Number: 1013188374
Entity Type: Organization
Organization Name: Gustafson Eyecare INC
Primary Specialty: Optometrist
Enumeration Date: Mar 14, 2008
Last Updated: Mar 14, 2008

Practice Location

Address: 1140 DOUGLAS RD
City: Oswego
State: Illinois
ZIP Code: 60543-9040
Phone: (630) 554-5188

Authorized Official

Name: STEVE GUSTAFSON
Title: OWNER
Phone: (630) 554-5188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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