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Forum Dave, O.D
NPI 1043695901 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1070 E Oakton St
Des Plaines, IL 60018 - Phone
- (847) 294-6722
- Organisation at this address
- Sam Salituro Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois