Individual
SETH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5153 S PULASKI RD UNIT B, CHICAGO, IL 60632-4219
(773) 284-9844
Mailing address
5153 S PULASKI RD STE B, CHICAGO, IL 60632-4219
(773) 284-9844
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011471
IL
Other
Enumeration date
09/18/2020
Last updated
03/26/2025
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