Individual
MARIAH SANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N STATE ST, CHICAGO, IL 60602-1659
(312) 634-9535
Mailing address
111 N STATE ST, CHICAGO, IL 60602-1659
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011945
IL
Other
Enumeration date
01/20/2025
Last updated
09/23/2025
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