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1639294101
GREGORY DANIEL ACTIPES
CICERO, IL
NPI
1639294101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046008414)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Dr. GREGORY DANIEL ACTIPES O.D.
2305 S CICERO AVE
CICERO, IL 60804-2451
Phone number: 708-656-0500
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Mailing Address
Dr. GREGORY DANIEL ACTIPES O.D.
1212 N LA SALLE DR #2010
CHICAGO, IL 60610-8027
Phone number: 312-822-3399
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