Individual
ERICA A ITTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3878
(312) 225-6200
(312) 949-7660
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3878
(312) 225-6200
(312) 949-7660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010235
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010235
—
IL
Enumeration date
06/29/2009
Last updated
07/22/2009
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