Individual
EIMAN YOUSIF GAFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
12812 WESTERN AVE, BLUE ISLAND, IL 60406-2118
(708) 385-0013
(708) 385-1175
Mailing address
3448 N MONTICELLO AVE, CHICAGO, IL 60618-5356
(312) 342-7007
(708) 552-9017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009572
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009572
—
IL
01
—
P00178341
RAILROAD MCR
IL
Enumeration date
08/02/2006
Last updated
02/21/2014
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