Individual
DR. HUMA I. JEELANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
100 W RANDOLPH ST, SUITE 104, CHICAGO, IL 60601-3218
(312) 263-4909
Mailing address
13400 S. RT. 59, SUITE 116-308, PLAINFIELD, IL 60585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010495
IL
152W00000X
Optometrist
9075
TX
152W00000X
Optometrist
OPC 4667
FL
Other
Enumeration date
06/20/2011
Last updated
03/17/2018
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