DR. Therese Marie Porretta, O.D.

NPI #1720182165 in Algonquin, Illinois

Provider Information

NPI Number: 1720182165
Entity Type: Individual
Name: DR. Therese Marie Porretta, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1410 S RANDALL RD
City: Algonquin
State: Illinois
ZIP Code: 60102-5919
Phone: (847) 458-5796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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