Individual
KHULAN KHUCHITBAATAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1513 W LANE RD, MACHESNEY PARK, IL 61115-1902
(779) 238-5851
Mailing address
963 BRIAR GLEN CT, HAMPSHIRE, IL 60140-1031
(910) 382-1762
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.012012
IL
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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