Individual
MS. ANN SONIA KALLADANTHYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2017 75TH ST, WOODRIDGE, IL 60517-2308
(630) 427-1000
(630) 427-1181
Mailing address
2017 75TH ST, WOODRIDGE, IL 60517-2308
(630) 427-1000
(630) 427-1181
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010960
IL
152W00000X
Optometrist
OPC 4469
FL
Other
Enumeration date
10/26/2009
Last updated
09/20/2016
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