Individual
ASHLEY FIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 949-7092
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010112
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010112
—
IL
Enumeration date
07/07/2008
Last updated
01/12/2009
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