CRAIG MATTHEW DECLARK

CHICAGO, IL
NPI1033101993
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046007272)
Enumeration Date2005-08-17
Last Update Date2008-05-20
Business Address
Dr. CRAIG MATTHEW DECLARK O.D.
6336 W GUNNISON ST
CHICAGO, IL 60630-2954
Phone number: 773-763-4666
Mailing Address
Dr. CRAIG MATTHEW DECLARK O.D.
6336 W GUNNISON ST
CHICAGO, IL 60630-2954
Phone number: 773-763-4666
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