Organization
DELTAVISIONINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZEHRA JAFFERI OD (PRESIDENT)
(708) 212-6738
Entity
Organization
Contact information
Practice address
2939 W ADDISON ST, CHICAGO, IL 60618-4635
(773) 250-0002
Mailing address
965 OAKHURST LN, RIVERWOODS, IL 60015-2513
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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