Individual
ALICE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
522 DEMPSTER ST, EVANSTON, IL 60202-1303
(847) 864-5200
(847) 864-1231
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.009219
IL
Other
Enumeration date
05/17/2007
Last updated
10/22/2020
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