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1932288198
CHARLES S KEFALAS ODPC
CHICAGO, IL
NPI
1932288198
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Entity Type
Organization
Authorized Contact
CHARLES S KEFALAS
President
773-582-0660
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046008568)
Enumeration Date
2006-11-06
Last Update Date
2010-07-19
Business Address
CHARLES S KEFALAS ODPC
4256 W 63RD ST
CHICAGO, IL 60629-5037
Phone number: 773-582-0660
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Mailing Address
CHARLES S KEFALAS ODPC
4256 W 63RD ST
CHICAGO, IL 60629-5037
Phone number: 773-582-0660
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