Individual
DR. RONALD E. GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
366 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1758
(708) 754-0080
(708) 754-0089
Mailing address
366 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1758
(708) 754-0080
(708) 754-0089
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006461
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046006461
—
IL
Enumeration date
10/21/2005
Last updated
11/14/2008
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