Individual
DR. THOMAS MICHAEL OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5706 111TH ST, CHICAGO RIDGE, IL 60415-2407
(708) 636-5115
(708) 636-5162
Mailing address
5706 111TH ST, CHICAGO RIDGE, IL 60415-2407
(708) 636-5115
(708) 636-5162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-007561
IL
Other
Enumeration date
07/31/2006
Last updated
09/27/2010
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