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JONATHAN ROSIN M. D. JIHAN AKHTAR M. D. Comprehensive Ophthalmology Refractive Surgery Cataract Surgery Glaucoma Management AMY W. VANDENBROOK M. Signature of Patient Date CATARACT SURGERY INTRAOCULAR IMPLANTS GLAUCOMA REFRACTIVE SURGERY CONTACT LENSES EXCLUSIVE EYEWEAR 6233 West Cermak Road Berwyn IL 60402 phone 708 749-2020 fax 708 749-2069 645 N. Michigan Ave. D. WILLIAM REIFF M. D. MARLYN GOLDBERG M. D. Vitreoretinal Diseases and Surgery FINANCIAL POLICY FOR COMPREHENSIVE EYECARE...
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