Individual
DR. GARY G. HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3125 S ASHLAND AVE, SUITE 204, CHICAGO, IL 60608-6252
(773) 890-1100
Mailing address
3125 S ASHLAND AVE, SUITE 204, CHICAGO, IL 60608-6252
(773) 890-1100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-007459
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007459
—
IL
01
—
410041869
RAILROAD MEDICARE
—
Enumeration date
07/13/2005
Last updated
11/21/2008
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