Individual
DR. YEVGENY GRINMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1013 DAVIS ST, EVANSTON, IL 60201-3609
(847) 475-1416
(847) 475-1416
Mailing address
3233 RONALD RD, GLENVIEW, IL 60025-4562
(847) 414-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009751
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009751
—
IL
Enumeration date
08/05/2006
Last updated
09/11/2008
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