Individual
JERDA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7337 S SOUTH SHORE DR, CHICAGO, IL 60649-3500
(312) 671-0288
(314) 644-4019
Mailing address
PO BOX 804751, CHICAGO, IL 60680-4108
(312) 671-0288
(314) 644-4019
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IL
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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