Individual
DR. RALPH GEIDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3136 N LINCOLN AVE, CHICAGO, IL 60657-3117
(773) 871-8210
(773) 871-4290
Mailing address
3136 N LINCOLN AVE, CHICAGO, IL 60657-3117
(773) 871-8210
(771) 871-4290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IL046007178
IL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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