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1295860294
BRIAN KEITH ORTIZ
CHICAGO, IL
NPI
1295860294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046.008802)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Dr. BRIAN KEITH ORTIZ O.D.
111 N WABASH AVE SUITE 1111
CHICAGO, IL 60602-1903
Phone number: 312-782-7833
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Mailing Address
Dr. BRIAN KEITH ORTIZ O.D.
111 N WABASH AVE SUITE 1111
CHICAGO, IL 60602-1903
Phone number: 312-782-7833
Copy
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