Individual
DONNA LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7153 CERMAK RD, BERWYN, IL 60402-2103
(708) 795-8585
Mailing address
3343 W 38TH ST, CHICAGO, IL 60632-2714
(312) 493-2512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011881
IL
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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