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Individual

NATALKA A MANASTERSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1700 E WEST RD, CALUMET CITY, IL 60409-5431
(708) 891-3330
(708) 891-0904
Mailing address
1700 E WEST RD, CALUMET CITY, IL 60409-5431
(708) 891-3330
(708) 891-0904

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010241
IL
152WL0500X
Low Vision Rehabilitation Optometrist
046010241
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046010241
IL
Enumeration date
06/29/2009
Last updated
08/19/2022
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