Individual
DR. ROGER HABIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2730 N CLARK ST, CHICAGO, IL 60614-1503
(773) 868-9189
Mailing address
1120 N LASALLE ST APT 10K, CHICAGO, IL 60610-7605
(312) 388-1711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010133
IL
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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