Individual
VICTORIA WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 S CANAL ST, CHICAGO, IL 60607-4901
(312) 588-0159
Mailing address
555 W MADISON ST, CHICAGO, IL 60661-2514
(312) 833-1871
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010842
IL
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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