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1487806923
LUCAS DERANGO
CHICAGO, IL
NPI
1487806923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046.010165)
Enumeration Date
2008-10-15
Last Update Date
2015-08-18
Business Address
Dr. LUCAS DERANGO O.D.
2906 N BROADWAY ST
CHICAGO, IL 60657-7163
Phone number: 773-525-1601
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Mailing Address
Dr. LUCAS DERANGO O.D.
2906 N BROADWAY ST
CHICAGO, IL 60657-7163
Phone number: 773-525-1601
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