Individual
RENA KIRAN OSTBLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1298 FOX VALLEY CTR, AURORA, IL 60504-4184
(630) 851-8300
Mailing address
1456 AMBLESIDE CIR, NAPERVILLE, IL 60540-0316
(630) 338-5385
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010564
IL
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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