Individual
FAQAR SALEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8525 S HARLEM AVE, BURBANK, IL 60459-2293
(708) 599-0050
Mailing address
8525 S HARLEM AVE, BURBANK, IL 60459-2293
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011504
IL
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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