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JACOB STALLBAUMER, OD

OD

Optometrist

NPI: 1528581527IndividualAccepts Medicare

Specialties, Licenses & Credentials

OptometristPrimary

Optometrist

Code: 152W00000X

046011248(IL)3401(TN)

CMS Specialties

PrimaryOPTOMETRY

Education

SOUTHERN COLLEGE OF OPTOMETRY

Class of 2017

Contact & Hours

Via practice · 2 locations total

Address
1130 W MADISON ST
CHICAGO, IL 60607

Quick Facts

NPI
1528581527
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
9

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