Individual
ADA AVARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 STRATFORD PL STE C-15, BLOOMINGDALE, IL 60108-2655
(630) 295-8031
Mailing address
3400 W STONEGATE BLVD APT 316, ARLINGTON HEIGHTS, IL 60005-1065
(703) 401-2957
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010815
IL
152WC0802X
Corneal and Contact Management Optometrist
046010815
IL
152WP0200X
Pediatric Optometrist
046010815
IL
Other
Enumeration date
08/16/2014
Last updated
11/04/2019
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