Individual
HUMA HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7610 ROOSEVELT RD, FOREST PARK, IL 60130-2295
(708) 366-9278
Mailing address
633 W NORTH AVE, CHICAGO, IL 60610-0905
(773) 251-6864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011718
IL
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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