Jasper Gulotta, O.D

NPI 1669464251 · on the registry since 2005 · sole proprietor

Practice

Address: 835 E 162nd St
South Holland, IL 60473
Phone: (708) 333-4444
Fax: (708) 333-4454
Organisation at this address: Jasper Gulotta
Advanced Eyecare South Holland Od And Associates Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-11-15

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