Individual
AZALEA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6201 W 95TH ST, OAK LAWN, IL 60453-3888
(708) 636-9393
Mailing address
4012 W 91ST PL, OAK LAWN, IL 60453-1902
(773) 450-0871
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011491
IL
Other
Enumeration date
01/27/2021
Last updated
01/05/2026
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