Individual
DR. KEVIN MICHAEL JARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4612 W ALGONQUIN RD, LAKE IN THE HILLS, IL 60156-6723
(847) 515-2020
Mailing address
4612 W ALGONQUIN RD, LAKE IN THE HILLS, IL 60156-6723
(847) 515-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008830
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4260330001
DMERC NUMBER
—
Enumeration date
07/08/2006
Last updated
12/05/2008
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