Jorge J Almodovar, O.D. Valid NPI
Individual provider · Optometrist · Gurnee, IL
- NPI
- 1306122270
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 046010502 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-10-24
- Last updated
- 2011-10-30
Practice location
6170 Grand Ave, Suite 155
Gurnee, IL 60031-4592
(847) 356-2900