Organization
MIRIAM M WELLER , O.D., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM M WELLER O.D. (PRESIDENT)
(847) 730-1006
Entity
Organization
Contact information
Practice address
2900 PATRIOT BLVD, GLENVIEW, IL 60026-8046
(847) 730-1006
(847) 730-1027
Mailing address
2900 PATRIOT BLVD, GLENVIEW, IL 60026-8046
(847) 730-1006
(847) 730-1027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008047
IL
Other
Enumeration date
03/20/2007
Last updated
09/10/2009
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