Domenic A. Divito
Domenic A. Divito is an Optician in Park Ridge, Illinois. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
17 N Northwest HwyPark Ridge, IL 60068-3339
Phone: (847) 823-2255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1457409500 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 8, 2007 |
| Last updated in NPPES | July 8, 2007 |
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