Individual
JEAN VY NHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
118 MAIN STREET, PARK RIDGE, IL 60068
(847) 696-6444
(847) 696-6434
Mailing address
439 BRIARHILL LN, GLENVIEW, IL 60025-4941
(479) 595-4459
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010630
IL
152W00000X
Optometrist
2010022775
MO
152W00000X
Optometrist
2654
AR
152W00000X
Optometrist
7694T
TX
Other
Enumeration date
07/22/2010
Last updated
01/23/2015
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