Individual
RACHEL GRACE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1320 TORRENCE AVE, CALUMET CITY, IL 60409-5512
(708) 868-5190
Mailing address
401 E 32ND ST APT 1507, CHICAGO, IL 60616-4063
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011826
IL
Other
Enumeration date
11/30/2023
Last updated
06/13/2024
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