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Organization

DR. ANGIE ABDALLAH GHANAYEM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGIE ABDALLAH GHANAYEM (OPTOMETRIST/OWNER)
(773) 775-3937
Entity
Organization

Contact information

Practice address
7146 N HARLEM AVE, CHICAGO, IL 60631-1017
(773) 775-3937
Mailing address
7146 N HARLEM AVE, CHICAGO, IL 60631-1017

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
152WC0802X
Corneal and Contact Management Optometrist
152WL0500X
Low Vision Rehabilitation Optometrist
152WP0200X
Pediatric Optometrist
152WS0006X
Sports Vision Optometrist
152WV0400X
Vision Therapy Optometrist
152WX0102X
Occupational Vision Optometrist

Other

Enumeration date
03/01/2011
Last updated
03/01/2011
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