Organization
DR. JERIES QTAMI & ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERIES QTAMI O.D. (OPTOMETRIST)
(708) 898-9112
Entity
Organization
Contact information
Practice address
21000 WESTERN AVE, OLYMPIA FIELDS, IL 60461-1900
(708) 898-9112
(708) 283-0609
Mailing address
47 W POLK ST STE 100-135, CHICAGO, IL 60605-2000
(708) 898-9112
(708) 283-0609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010554
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010554
—
IL
Enumeration date
10/06/2016
Last updated
03/07/2024
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