EDWARD KOUTNIK

CHICAGO, IL
NPI1952785578
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046.010901)
Enumeration Date2015-07-14
Last Update Date2015-07-14
Business Address
-- EDWARD KOUTNIK O.D.
1548 E 55TH ST
CHICAGO, IL 60615-5550
Phone number: 773-667-0024
Mailing Address
-- EDWARD KOUTNIK O.D.
1548 E 55TH ST
CHICAGO, IL 60615-5550
Phone number:
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