Individual
NADER E FAKHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1605 BENSON AVENUE, EVANSTON, IL 60201
(847) 864-9393
Mailing address
1605 BENSON AVENUE, EVANSTON, IL 60201
(847) 864-9393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009416
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009416
—
IL
Enumeration date
02/06/2006
Last updated
04/23/2021
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