OrganizationActive
Loretta De Koster,o.d. Inc.
NPI 1992982169 · Optometrist · Elmwood Park, IL
Loretta De Koster,o.d. Inc. is a Optometrist organization in Elmwood Park, IL (NPI 1992982169).
Provider details
- NPI number
- 1992982169
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Loretta De Koster, Ceo(708) 456-4362
- License
- 046008683 (IL)
Practice location
2528 N Harlem Ave
Main Floor
Elmwood Park, IL 60707-2046
Phone: (708) 456-4362
Fax: (708) 456-5161
Street-level locationGet directions
Mailing address
2528 N Harlem Ave
Elmwood Park, IL 60707-2046
Registry dates
- Enumerated
- 2008-01-30
- Last updated
- 2012-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.