Steve Gustafson, O.D.

NPI #1609948975 in Oswego, Illinois

Provider Information

NPI Number: 1609948975
Entity Type: Individual
Name: Steve Gustafson, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 14, 2006
Last Updated: Jul 9, 2007

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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