Individual
MARK S. SBLENDORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9900 RIDGELAND AVE, CHICAGO RIDGE, IL 60415-1241
(708) 422-8955
Mailing address
14262 SELVA LN, ORLAND PARK, IL 60462-1788
(708) 873-0943
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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