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1336253889
MICHAEL SCULLEY
CHICAGO, IL
NPI
1336253889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046-009541)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL SCULLEY O.D.
3539 N SOUTHPORT AVE
CHICAGO, IL 60657-6447
Phone number: 773-871-2020
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Mailing Address
Dr. MICHAEL SCULLEY O.D.
3539 N SOUTHPORT AVE
CHICAGO, IL 60657-6447
Phone number: 773-871-2020
Copy
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