Individual
DR. GLORIA JEAN DOCHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
15410 S HARLEM AVE, ORLAND PARK, IL 60462-4333
(708) 633-0060
(708) 633-0077
Mailing address
6504 CHARLESTON ST, OAK FOREST, IL 60452-2623
(708) 687-2522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040018663
BCBS
IL
01
—
0920080001
MEDICARE DME
IL
Enumeration date
10/16/2006
Last updated
02/25/2008
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