Individual
SHABANA NAWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4777 NORTHWEST HIGHWAY, CRYSTAL LAKE, IL 60014
(815) 477-8500
Mailing address
4777 NORTHWEST HIGHWAY, CRYSTAL LAKE, IL 60014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010930
IL
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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