Individual
HAMMAD MALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
321 N MICHIGAN AVE, CHICAGO, IL 60601-3707
(312) 647-2020
(312) 263-0224
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011567
IL
152W00000X
Optometrist
2033
SC
Other
Enumeration date
03/26/2018
Last updated
10/24/2024
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