Individual
ANSLEE JOHN KAREDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9 W MADISON ST, CHICAGO, IL 60602-4308
(312) 624-2020
Mailing address
9 W MADISON ST, CHICAGO, IL 60602-4308
(312) 624-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011956
IL
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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