DR. Thomas Earl Gustafson, O.D.

NPI #1164492096 in Palatine, Illinois

Provider Information

NPI Number: 1164492096
Entity Type: Individual
Name: DR. Thomas Earl Gustafson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 24, 2006
Last Updated: Mar 13, 2020

Practice Location

Address: 96 W NORTHWEST HWY
City: Palatine
State: Illinois
ZIP Code: 60067-3571
Phone: (847) 358-7722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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