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1184009730
ELLEN KOZOB, INC
CHICAGO, IL
NPI
1184009730
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Entity Type
Organization
Authorized Contact
ELLEN R KOZOB
Owner
224-622-0907
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046010698)
Enumeration Date
2015-07-24
Last Update Date
2015-07-24
Business Address
ELLEN KOZOB, INC
2131 N LARRABEE ST UNIT 6107
CHICAGO, IL 60614-4444
Phone number: 224-622-0907
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Mailing Address
ELLEN KOZOB, INC
2131 N LARRABEE ST UNIT 6107
CHICAGO, IL 60614-4444
Phone number: 224-622-0907
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