Individual
CHRISTA D PIETRZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
540 W NORTH ST, SUITE 209, MANHATTAN, IL 60442-8201
(815) 478-0100
(815) 478-9100
Mailing address
540 W NORTH ST, SUITE 209, MANHATTAN, IL 60442-8201
(815) 478-0100
(815) 478-9100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009719
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009719
—
IL
Enumeration date
04/07/2006
Last updated
03/02/2016
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