Individual
DR. BRIAN KEITH ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
111 N WABASH AVE, SUITE 1111, CHICAGO, IL 60602-1903
(312) 782-7833
(312) 236-0783
Mailing address
111 N WABASH AVE, SUITE 1111, CHICAGO, IL 60602-1903
(312) 782-7833
(312) 236-0783
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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