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Individual

FERRIS KENT AIDE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2441 W SCHAUMBURG RD, SCHAUMBURG, IL 60194-3886
(847) 301-2727
Mailing address
1595 CROWFOOT CIR S, HOFFMAN ESTATES, IL 60194-2391

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46007627
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
46007627
IL
Enumeration date
05/16/2006
Last updated
03/07/2023
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