Organization
TWO NON-BLONDES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA HAN O.D. (OPTOMETRIST)
(224) 676-1022
Entity
Organization
Contact information
Practice address
2013 MILWAUKEE AVE, RIVERWOODS, IL 60015-3581
(224) 676-1022
Mailing address
2013 MILWAUKEE AVE, RIVERWOODS, IL 60015-3581
(224) 676-1022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010088
IL
152W00000X
Optometrist
046.010749
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046.010088
—
IL
Enumeration date
03/22/2017
Last updated
06/23/2017
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