Individual
AZZRAH THOBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, FAAO
Contact information
Practice address
900 SKOKIE BLVD STE 150, NORTHBROOK, IL 60062-4038
(847) 497-2020
Mailing address
1228 W MONROE ST UNIT 509, CHICAGO, IL 60607-2581
(312) 451-9496
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002806
CT
152W00000X
Optometrist
Primary
046.010256
IL
152W00000X
Optometrist
TUV007672
NY
Other
Enumeration date
08/20/2009
Last updated
12/18/2021
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