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General NPI Number Information
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NPI Number | 1588850648
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Entity Type | Organization
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Legal Business Name | GURNEE EYE CARE, P.C.
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 312 TRI STATE PKWY SUITE 100
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City | GURNEE
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State | IL
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Zip | 60031-5283
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Country | US
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Telephone | 847-623-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 312 TRI STATE PKWY SUITE 100
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City | GURNEE
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State | IL
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Zip | 60031-5283
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Country | US
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Telephone | 847-623-3937
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. ROBERT ALONGI
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Credential | O.D.
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Telephone | 847-623-3937
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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 | 046007902
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License Number State | IL
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