Individual
EILEEN M GABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
(708) 216-4878
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
(708) 216-4878
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008458
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008458
—
IL
Enumeration date
08/31/2005
Last updated
04/07/2021
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