Individual
TANYA N LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1652 BEECHER RD, YORKVILLE, IL 60560-5602
(708) 275-6192
Mailing address
1520 FRINGETREE LN, WOODRIDGE, IL 60517-4653
(708) 275-6192
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010099
IL
Other
Enumeration date
07/08/2008
Last updated
03/27/2020
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