Individual
DR. ELLEN S SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1855 W TAYLOR ST, CONTACT LENS SERVICE, CHICAGO, IL 60612-7242
(312) 996-5410
Mailing address
1855 W TAYLOR ST, CONTACT LENS SERVICE, CHICAGO, IL 60612-7242
(312) 996-5410
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-010248
IL
Other
Enumeration date
07/23/2009
Last updated
09/13/2012
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