Individual
DR. KELLY D OLIVER-ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
534 N RAND RD, LAKE ZURICH, IL 60047-3103
(847) 550-5228
(847) 550-5232
Mailing address
534 N RAND RD, LAKE ZURICH, IL 60047-3103
(847) 550-5228
(847) 550-5232
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010327
IL
Other
Enumeration date
07/21/2010
Last updated
12/19/2014
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