Individual
DR. STANISLAV MORDARSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1701 N LARKIN AVE STE 105, CREST HILL, IL 60403-3457
(815) 741-1140
Mailing address
2545 ERIE ST, RIVER GROVE, IL 60171-1713
(708) 714-2205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011978
IL
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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