Individual
JOHN DANIEL TATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4999 OLD ORCHARD CTR, SKOKIE, IL 60077-1450
(872) 888-6620
Mailing address
5315 MULFORD ST, SKOKIE, IL 60077-2761
(224) 210-0867
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011792
IL
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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