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1144930298
MITCHELL WILLIAM KANELLIS
DOWNERS GROVE, IL
NPI
1144930298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046011732)
Enumeration Date
2022-11-30
Last Update Date
2024-03-01
Business Address
MITCHELL WILLIAM KANELLIS OD
3450 LACEY RD
DOWNERS GROVE, IL 60515-5430
Phone number: 630-743-4500
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Mailing Address
MITCHELL WILLIAM KANELLIS OD
3450 LACEY RD
DOWNERS GROVE, IL 60515-5430
Phone number: 630-743-4500
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