Individual
DR. ELIJAH RAY RISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2157 N DAMEN AVE UNIT 308, CHICAGO, IL 60647-6917
(480) 320-8882
Mailing address
2157 N DAMEN AVE UNIT 308, CHICAGO, IL 60647-6917
(480) 320-8882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011175
IL
Other
Enumeration date
04/17/2018
Last updated
09/14/2022
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