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1326194101
SRINIVAS JAIRAM
WOODRIDGE, IL
NPI
1326194101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 047.106798)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Dr. SRINIVAS JAIRAM OD
2017 75TH ST
WOODRIDGE, IL 60517-2308
Phone number: 630-427-1000
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Mailing Address
Dr. SRINIVAS JAIRAM OD
2017 W. 75TH ST
WOODRIDGE, IL 60517
Phone number: 630-427-1000
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