Individual
DR. KASHIFA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 225-6200
(312) 949-7617
Mailing address
2S646 AVENUE VENDOME, OAK BROOK, IL 60523-1074
(630) 673-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011773
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2023
Last updated
08/18/2024
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