Individual
DR. RAYMOND H NOOTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 S HARLEM AVE, STICKNEY, IL 60402-4250
(708) 788-3400
(708) 788-3472
Mailing address
4401 S HARLEM AVE, STICKNEY, IL 60402-4250
(708) 788-3400
(708) 788-3472
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036044697
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044697
—
IL
Enumeration date
08/14/2006
Last updated
01/08/2016
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