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1780753939
CHARLES S KEFALAS
CHICAGO, IL
NPI
1780753939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046008568)
Enumeration Date
2006-11-06
Last Update Date
2010-07-09
Business Address
Dr. CHARLES S KEFALAS od
4256 W 63RD ST
CHICAGO, IL 60629-5037
Phone number: 773-582-0660
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Mailing Address
Dr. CHARLES S KEFALAS od
4256 W 63RD ST
CHICAGO, IL 60629-5037
Phone number: 773-582-0660
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