Foreman & Stack Od PC
NPI #1083803050 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1083803050
- Entity Type
- Organization
- Organization Name
- Foreman & Stack Od PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 16, 2007
- Last Updated
- Feb 16, 2011
Practice Location
- Address
- 876 ROOSEVELT RD
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137
- Phone
- (630) 469-2418
Authorized Official
- Name
- DR. CATHERINE MARY STACK, OD
- Title
- OWNER OPTOMETRIST
- Phone
- (630) 469-2418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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