Individual
DIANA RANJBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 S MANNHEIM RD, HILLSIDE, IL 60162-1821
(708) 547-1984
Mailing address
10S372 TIM CT, WILLOWBROOK, IL 60527-6059
(708) 371-9167
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010356
IL
Other
Enumeration date
10/21/2010
Last updated
12/22/2017
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