Individual
RAPHAELLA TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD, MS
Contact information
Practice address
360 S WAUKEGAN RD STE A, DEERFIELD, IL 60015-5654
(847) 412-0311
(847) 412-0316
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6241
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011529
IL
Other
Enumeration date
06/11/2021
Last updated
02/12/2024
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