DR. Ellen Renee Petroczky, O.D.

NPI #1992996383 in Elgin, Illinois

Provider Information

NPI Number: 1992996383
Entity Type: Individual
Name: DR. Ellen Renee Petroczky, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 9, 2007
Last Updated: Jul 12, 2013

Practice Location

Address: 363 S RANDALL RD
Address 2: ELGIN FAMILY EYE CARE
City: Elgin
State: Illinois
ZIP Code: 60123-5526
Phone: (847) 888-1555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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