Individual
MICHAEL L TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7601 S CICERO AVE, CHICAGO, IL 60652-1022
(773) 284-4294
(773) 284-1347
Mailing address
5455 N SHERIDAN RD, #3915, CHICAGO, IL 60640-1958
(773) 784-0916
(773) 284-1347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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