Individual
NELLIE N PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
20303 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1073
(708) 898-1858
(708) 898-1860
Mailing address
20303 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1073
(708) 898-1858
(708) 898-1860
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010603
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636706
BCBS
IL
01
—
7235044
AETNA
IL
01
—
8825444
MULTIPLAN
IL
Enumeration date
07/19/2012
Last updated
01/11/2017
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