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Search › Illinois › 152W00000X

Chula Lerdvoratavee, O.D

NPI 1346230604 · on the registry since 2005

Practice

Address
2075 Wiesbrook Rd
Oswego, IL 60543
Phone
(630) 844-0908
Fax
(630) 844-0677
Organisation at this address
Developmental Vision Center Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152WL0500X
152WC0802X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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