Organization
KALLADANTHYIL EYES LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN SONIA KALLADANTHYIL O.D. (CEO/OPTOMETRIST)
(813) 850-8440
Entity
Organization
Contact information
Practice address
2017 75TH ST, WOODRIDGE, IL 60517-2308
(630) 427-1000
Mailing address
3096 DROVER LN, DARIEN, IL 60561-1640
(813) 850-8440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010960
IL
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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