Individual
MEHAR GANI ASIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
215 W 23RD ST, CHICAGO, IL 60616-1903
(312) 225-3188
Mailing address
3708 N SOUTHPORT AVE, CHICAGO, IL 60613-6888
(630) 442-9850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010849
IL
Other
Enumeration date
09/23/2014
Last updated
01/14/2021
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