Individual
DR. KATIE FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 949-7751
(312) 949-7000
Mailing address
3241 S MICHIGAN AVE APT 4C, CHICAGO, IL 60616-4201
(312) 949-7751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010429
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007987
—
IL
Enumeration date
05/23/2007
Last updated
03/17/2018
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