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1164290516
JESSICA A VITALE
ADDISON, IL
NPI
1164290516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046-011816)
Enumeration Date
2023-12-14
Last Update Date
2023-12-28
Business Address
JESSICA A VITALE OD
1600 W LAKE ST STE 106
ADDISON, IL 60101-1822
Phone number: 630-773-9410
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Mailing Address
JESSICA A VITALE OD
1600 W LAKE ST STE 106
ADDISON, IL 60101-1822
Phone number: 630-773-9410
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