person
Domenic A. Divito
Optician in Park Ridge, Illinois
NPI 1457409500

Domenic A. Divito is a Optician based in Park Ridge, IL and is specialized in Optician. Domenic A. Divito practices in Park Ridge, IL. The NPI Number for Domenic A. Divito is 1457409500 and holds a License No. (Illinois).

The current practice location address for Domenic A. Divito is 17 N Northwest Hwy, Park Ridge, IL and can be reached out via phone at 847-823-2255. You can also correspond with Domenic A. Divito through the mailing address at 17 N NORTHWEST HWY, PARK RIDGE, IL - 60068-3339 (mailing address contact number: 847-823-2255).

Location: 17 N Northwest Hwy, Park Ridge, IL, 60068-3339
person
Provider Profile Details
NPI Number
1457409500
Provider Name
Domenic A. Divito
Credential
Provider Entity Type
Individual
Gender
Male
Address
17 N Northwest Hwy, Park Ridge, IL, 60068-3339
Phone Number
847-823-2255
Fax Number
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
17 N Northwest Hwy
City
State
Zip
60068-3339
Phone Number
847-823-2255
Fax Number
person
Provider Business Mailing Address Details
Address
17 N Northwest Hwy
City
State
Zip
60068-3339
Phone Number
847-823-2255
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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