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1215120522
JIRASAN SAKULSOM
CHICAGO, IL
NPI
1215120522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046.010489)
Enumeration Date
2007-08-20
Last Update Date
2022-11-16
Business Address
Dr. JIRASAN SAKULSOM O.D.
2210 N CLARK ST
CHICAGO, IL 60614-3855
Phone number: 773-697-9100
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Mailing Address
Dr. JIRASAN SAKULSOM O.D.
259 E ERIE ST SUITE 20-220
CHICAGO, IL 60611
Phone number:
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