Individual
DR. MATHURAA SASITHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1320 TORRENCE AVE, CALUMET CITY, IL 60409-5512
(708) 868-5190
Mailing address
1529 S STATE ST, CHICAGO, IL 60605-3011
(312) 566-3326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011108
IL
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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