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Individual

DR. MIKI KITAHATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
427 HAMILTON ST, GENEVA, IL 60134-2136
(630) 232-7112
(630) 232-7160
Mailing address
427 HAMILTON ST, GENEVA, IL 60134-2136
(630) 232-7112
(630) 232-7160

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008170
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046-008170
IL
Enumeration date
08/27/2005
Last updated
08/29/2024
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