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1215921655
ALEX R TAN
OAK PARK, IL
NPI
1215921655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046009172)
Enumeration Date
2005-08-31
Last Update Date
2013-02-06
Business Address
ALEX R TAN OD
603 MADISON ST
OAK PARK, IL 60302-4437
Phone number: 708-383-2150
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Mailing Address
ALEX R TAN OD
603 MADISON ST
OAK PARK, IL 60302-4437
Phone number: 708-383-2150
Copy
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