Individual
CRISTINA LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-7507
Mailing address
1618 S HALSTED ST, #5A, CHICAGO, IL 60608-2988
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 5210
FL
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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