Individual
IMRAN ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
313 N DIVISION ST, HARVARD, IL 60033
(815) 943-6635
(815) 943-6740
Mailing address
313 N DIVISION ST, HARVARD, IL 60033-3060
(815) 943-6635
(815) 943-6740
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010257
IL
Other
Enumeration date
07/08/2009
Last updated
08/31/2009
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