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1295898211
STEPHANIE A WIECZOREK
CHICAGO, IL
NPI
1295898211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046-009385)
Enumeration Date
2006-12-19
Last Update Date
2010-05-21
Business Address
-- STEPHANIE A WIECZOREK O.D.
7601 S CICERO AVE FORD CITY MALL
CHICAGO, IL 60652-1022
Phone number: 773-582-8030
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Mailing Address
-- STEPHANIE A WIECZOREK O.D.
1719 W DIVERSEY PKWY
CHICAGO, IL 60614-1009
Phone number: 312-498-9363
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