Individual
RIDA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 N ROHLWING RD, ADDISON, IL 60101-1034
(630) 424-0038
Mailing address
869 TIPPERARY ST, GILBERTS, IL 60136-8906
(847) 962-1344
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011889
IL
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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