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1811063431
FREDERIC A BANSER
CHICAGO, IL
NPI
1811063431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 036095121)
Enumeration Date
2006-11-27
Last Update Date
2019-07-25
Business Address
FREDERIC A BANSER OD
2842 N SHERIDAN RD
CHICAGO, IL 60657-6174
Phone number: 773-975-4300
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Mailing Address
FREDERIC A BANSER OD
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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