Individual
MOLLY O'SHAUGHNESSEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
17495 LA GRANGE RD, TINLEY PARK, IL 60487-7581
(708) 226-7000
(708) 388-5672
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-4445
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010653
IL
152W00000X
Optometrist
OPC5013
FL
Other
Enumeration date
06/27/2013
Last updated
06/13/2022
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