Individual
DR. CAMILLA JOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9930 S WINCHESTER AVE, CHICAGO, IL 60643-1808
(773) 885-4642
Mailing address
9930 S WINCHESTER AVE, CHICAGO, IL 60643-1808
(773) 885-4642
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011063
IL
152W00000X
Optometrist
9270
CA
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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