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General NPI Number Information
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NPI Number | 1558506345
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Entity Type | Organization
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Legal Business Name | ROBERT J. WILKEMEYER, O.D., LTD
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 777 N YORK RD
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City | HINSDALE
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State | IL
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Zip | 60521-2128
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Country | US
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Telephone | 630-323-0523
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Fax | 630-323-0673
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Provider Business Mailing Address
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Address Line | 777 N YORK RD
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City | HINSDALE
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State | IL
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Zip | 60521-2128
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Country | US
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Telephone | 630-323-0523
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Fax | 630-323-0673
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. ROBERT J WILKEMEYER
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Credential | O.D.
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Telephone | 630-323-0523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046008055
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License Number State | IL
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