Individual
DR. JOHN ICHISHITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
730 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1914
(847) 362-9900
(847) 362-9936
Mailing address
730 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1914
(847) 362-9900
(847) 362-9936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010675
IL
Other
Enumeration date
07/30/2013
Last updated
04/25/2025
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